Telemarketer Documents

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Attorney General.Tom. ~.iller G7 Y fl 23 M~ 10: 16
Consumer ProtectIOn DIvIsIOn
Hoover State Office Building l:w , iS U ; ~lR PI\ OT C: CT i O .~ 01j .
1305 E. \Valnut, Des Moines, Iowa 50319
515-281-5926
E-Illail: consumel·@ag.state.ia.us
CHARITABLE ORGANIZATION FINANCIAL INFORMATION

DISCLOSURE FORM
NOTE: THlS FORM MUST BE COMPLETED FOR EACH CHARITABLE
ORGANIZATION THAT RECEIVES FUNDS SOLICITED IN OR FROM rOWA
Instructions. To help us handle yuur registration:
I. Please download/print thi,~ t()J'Jn.

2. Please type or carefully print your responses. Answer all questions fully and correctly.
J. Return this forlll(s) with copies of contract(s), if applicable and the Professional Comlllercial
fund-raiser Registration forlll to the Consulller Protection Division (address above).
PLEASE NOTE IMPORTANT OPEN RECORDS INFORMATION TOWARDS THE END OF THIS FORM.
J. Name of Professional Fund-Raiser: Associated Community Services
2. Identify the charitable organization fiJI' which you will be soliciting money within the
State of lo\va during this registration period. (If more than one charitable organization,
file a separate Financial Information Disclosure form for each .)
1\ . Name: Vietnam Veterans of Iowa, Inc.
B. Address and telephone number of the charitable organization :
210 Walnut Street, Room 1045
Des Moines, IA 50309
C. Name, title, address and telephone number of the contact persoll(s) for the
charitable org,ll1i zation:
~ond Hutchison 515-323-7549
Page I of 5
210 Walnut Street, Room 1045 Des Moines
/-/(9- ~1701--
3. Beginning and ending solicitation dates J thropgh ON GOING
4. Is the contract between the professional fund-raiser and the charitable organization on tile
with the office of the 100\'a Attorney General?
Yes B If no, attach a copy of the contract to this form.
5. Soliciting will be conducted by (Check one or more that apply):
CTelephoii) Door-to-door Electronic Media (TV, radio) Direct Mail
Print media (magazines, newspapers) Other
6. r~ill be contacted by telephone and mail, how will the initial contact be made'?
Telephonv Mail
7. IfsoJiciting will be conclucted by telephone, provide the following regarding the location
from which calls v"ill be made. (If more th an two locations, continue on a separate sheet) :
Please see attachment
Room I
a. Address of telephone room (Include street, city ancl state): _ _ _ _ _ _ _ _ __ _ _
b. All telephone number(s)from which solicitations are made: _ _ _ _ _ _ _ _ _ _ __
c. Name(s) of manager(s) and/or supervisor(s) of the room: _ _ _ _ _ _ _ _ _ _ _ __
Room 2
a. Address of telephone roOI11 (Include street, city and state):_ _ _ _ _ _ _ _ _ _ __
b. All telephone nUl11ber(s)from vvhich solicitations are made: _ _ _ _ _ _ _ _ _ __ _
c. Name(s) ofmanager(s) and/or supervisor(s) of the room: _ _ _ _ _ _ _ _ _ _ _ __
X. Will the solicitation campaign involve the sale of goods or services? Yes G)
Page 2 of 5
If yes, check one or more of the t()llowing that apply:
Tickets to an event Advertising space in a program book, journal, or other
Other (descri be)_.,..--,-_,-----,-----_-----:-,--------,-_ _--,----::_ _---,---_ _--=--_---,,--------:-_______- -

9. Will the professicl11al fund-raiser collect donated funds directly from the c!onor(s) in person?
yes@>
If"No," describe ho\v the funds will be collected.--'B~y~M~a""1'""·l"'___ _ _ _ _ _ _ _ _ _ __
10. !fcontributions will be made by mail, identify all addresses to which the mail will be sent.
Ifany of the addresses are dinerent than the addresses listed in response to question 2B,
please state: (I) whether the address is that ofa post office box, commercial mail service,
bank of the professional timd-r;liser or the address of a charitable organization; (2) the
identity of the individual or entity responsible for collecting mail containing contributions.
Donations are mailed to a PMB Box (like a UPS store or a Pack & Mail)
The PMB then forwards mail to Associated Community Services for
processing. The PMB Box has not yet been set lip
I I. State which of the f()llowing has the authority to withdraw the funds hOI11 any banking
account (check all that apply):
Professional fund-raiser Both or either
Neither (please explain)
12. State whether contributions to the charitable organization are tax deductible:
~
GJ No
13. On an attached sheet, describe the charitable program for which the solicitation campaign is
being carried out.
Page 3 of 5
FII\ANCIAL JNFORMATION
State the following information and indicate the applicable time period and dates (either the last
completed fiscal year or the previous twelve months):
a. Total amount ofll1oney collected by the professional commercial fund-raiser in

any manner on behalf of the charitable organization:
(I
b. Itemize the sOllrce(s), and dollar amollnts per source, of all funds collected on
behalf of the charitable organization: (contributions or donations; payments for
tickets to events, govel"lll11ent grants, private charities, foundations, etc.):
(I
c. Itemize how the professional commercial fund-raiser expended the funds:
(I) Total given to charitable organization _ _ _(I:
(2) Total not given to charitable organization but expended on behalf of the
charitable organization: Itemize by dollar amount based on the following anci any
other applicable categories: salaries/commissions/compensatiOl1; rent/mortgage;
transportation; professional services (attorneys, accountants, etc.);
ad verti si ng/ promot ion, etc.:
(I
(3) State the total dollar amount billed to the charitable organizatiOl1 by the
professional commercial fund-raiser and itemize each such billing by purpose and
amount:
(I
Page 4 of 5
Note: All information and documentation provided as part of this registration, including this
form are public records and all or some may be open to public inspection pursuant to the
Iowa public recorcls law, Iowa Cocle chapter 22, and the iowa Attorney General's
Administrative Rules relating to public records, 61 lAC chapter 2.
I\ote: Any changes or additions to the information provided in this notice must oe reported
immediately.
SIGI\ATURE:
State of Michigan )
) SS.
County of Oakland )
I,R. William. Burland, being tirst duly sworn on oath, depose and state that I am a
managing agent of the pl"Ofession:lI fund-raiser; that T have read the contents of this Charitable
Organization Financial Disclosme Form; that I know the contents thereof; and that each
statement made and each answer given is true to my own knowledge.
---ti< -~
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Subscribed and sworn to before me on /- ~O 7
(4~JAQ~//
Otaryulic' , - - -- ---
CATHLEEN D. ANDARY
Notary Public, State of Michigan
County of Macomb
My Commission Ex~S Sep. 4,

Acting in the County of ~ (:
r 2
Page 5 of 5
Stalement of Purpose Pane
:::> 1 of 1
Reminder: AOL will never ask you to send us your password or credit card number in an email. This message has been scanned for known viruses.
From: steven .mulcahy@va .gov
To: willie501 @aol.com

Subject: Statement of Purpose
Date: Wed , 10 Jan 2007 6:12 PM
Attachments:
smime .p7s (6K)
State ment o f Purpose
Vietnam Veterans of I owa
The Io wa Vietnam Veterans of Iowa was formed as a fundraising arm for

the Serv i ce Representative Of fi ce of Vietnam Veterans of America Inc.
This o ffi ce helps veterans fil e claims and assists veterans of all wars
and conflicts, plus any veteran who was ever in the service to their
country. We try to file all the paperwork for the vet, help them get
medical records, and a ll other records they might need in the process of
filing a c laim f or benefits. Currently we have a budget of about
$84,000 . 00, and of that $82, 00 0 .00 is spent on the office. our office lS
open 8:00am to 5:00pm dally. Several of our volunteers work late and
weekends to keep up with the workload.
We ha ve two paid staff and eight volunteer's who man the offices in Des
l"ioines, Io,,,a City VAMC, the De witt County office, Workforce office in
Davenport, Des Moines VAMC, and our Fort Madison office.
We have volunteer's wh o go to the Newton, Rockwell City, Mt. Pleasant,
and Anamosa Correct ional Facilitie s on a monthly basis to bring
informatlon to the veterans in the prisons and to prepare them for their
release.
we are one of the few VSOs in the state that has more volunteers as
accredited than paid help, and we are very proud of that.
Steve Mulcahy, President

Vietn am Veterans of I owa
400 E. Diehl Ave.
Des Moines, IA. 5 0 315
641-777-7844
http://webmail-vma.webmail.aol .com/222S0/aol/en-us/mai I/displ ay-message.aspx 1/1712007

LIST OF PHONE ROOM DIRECTORS
Antonio G. Lia Dearborn
23400 Michigan Avenue P-12 MI 48124
John 1. Lucidi Southfield
29777 Telegraph Rd., Suite 3000 MI48034
Nikole Luton Dearborn
23400 Michigan Avenue P-12 1\11 48124
Richard Garon Southfield
29777 Telegraph Rd., Suite 3000 MI48034
Scot S Stepek Southfield
29777 Telegraph Rd ., Suite 3000 l\!Il 48034
LIST OF PHONE ROOIVI LOCATIONS
29777 Telegraph Rd ., Suite 3000 Southfield
MI48034
23400 Michigan Avenue P-12 Dearborn
MI48124
Banks
Flagstar Bank
5151 Corporate Dr.
Troy, MI
Account U 583585445
AGREEMENT
FOR AND IN CONSIDERATION of the covenants and agreements contained herein, the undersigned,
ASSOCIA TED COMMUNITY SERVICES, INC., (hereinafter referred to as
"ACS") and VIETNAM VETERANS OF IOWA, INC., a non-profit veterans
organization (hereinafter referred to as "VVIA "), enter into this contractual agreement as follows:
1. PURPOSE: The parties hereto agree and covenant that the purposes of this
Agreement are as follows:
a) For ACS to conduct on behalf of VVIA a public relations and sponsorship

solicitation campaign by telephone and direct mail defmed below in VVlA's
name.
b) For ACS to serve as VVIA's exclusive representative to locate telemarketing

firms qualified to conduct campaigns for VVIA. In consideration of ACS's
execution of this agreement, VVIA agrees that, during the term of this
C· \\"') }
~~, ', Agreement and any extension thereof, not to retain or use the services of any
other telemarketing flnns except those which are arranged by or through ACS.
In addition thereto, VVIA agrees that it will not conduct its own telemarketing
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program(s), or do so in conjunction with any other person or entity, without the
f) ......- ,
express written consent of ACS, who shaH have the right to withhold approval at
its sole discretion.
c) For ACS to solicit contributions for VVIA for fulfillment of VVIA's charitable
purpose(s) in the State ofIOWA.
2. USE OF TELEMARKETING: It is contemplated by and between the parties

hereto, that ACS will throughout the term of this agreement, develop and expand the
geographical areas in which VVIA is represented, by adequately supervise and trained
telemarketing services, which shall be used to disseminate information and appeal for
support from prospective donors. All such campaigns will be conducted in the name of
VVIA, with VVIA being afforded the opportunity to provide information and materials to
those who are contacted and express an interest in receiving same.
3. DURATION OF AGREEMENT: This agreement shall become effective on

January 1,2007. Beginning on January 1,2007 this agreement shall be an exclusive
arrangement on a national basis for a period of Two (2) years, with an effective date of
January 1,2007, The term of this agreement shall be automatically renew annually,
unless either party hereto shall elect to cancel by giving notice thereof in writing,
received no later than one hundred eighty (180) days prior to the last day of the current
term . Said notice shall be sent by certified mail, return receipt requested. In the event of
such cancellation, ACS shall have a maximum of one hundred eighty (180) days in order
to collect on all outstanding donations, pledges, contributions and appeals. Thereafter,
one hundred (100%) percent of all funds will revert to VVIA.
4. DUTIES AND OBLIGATIONS OF ACS: ACS hereby acknowledges and

agrees to assume the following obligations, without limitation, as may be required from
time to time throughout the course of this agreement:
a) ACS agrees to make telephone calls from its facilities, from lists of names and
corresponding phone numbers; such lists are to be provided by ACS. ACS
agrees to provide a work force that is properly trained and supervised for the
purposes of this Agreement. Said Facilities and work force may be
subcontracted by ACS .
Those parties contacted by ACS, who express interest in supporting

VVIA, shall receive a statement which ACS shall cause to be delivered.
Costs, including but not limited to lists, caging, training, chase calls, telephone
installation, telephone charges, office space, fixtures and rentals, utility
expenses, salaries and commissions, licenses, pennits, taxes, bonds and any
other such incidental expenses are the sole responsibility of ACS.
b) ACS will conduct a telephone public relations and sponsorship solicitation

campaign. ACS representatives, using a prepared presentation approved by
VVIA, will defme VVIA, explain its objectives, encourage support, and relate
the history ofVVIA on a one-to-one basis. This call will be structured to
accomplish the following:
I) To enhance VVIA's image and to create better name recognition and

awareness;
2) To promote increased public awareness and support for VVIA's goals

and objectives;
3) To promote volunteers for VVIA;
4) To solicit, merchandise, services and/or volunteers on behalf of VVIA;
5) To encourage individuals to take such actions as to further the purpose

ofVVIA;
c) To engage in no activities in the name ofVVIA without its consent, and at all
times to conduct business with due regard to the name and reputation of VVIA.
d) To use its best efforts in locating and referring qualified telemarketing firms to
VVIA with the goal of creating national coverage for telemarketing campaigns.
Said telemarketing fums shall submit reference background fonns, be properly
registered and bonded to comply with the appropriate state law(s) in
geographical jurisdiction, and must be approved in writing by VVIA, which
approval shall not be unreasonably withheld or delayed.
e) To receive and review the sales records of the independent telemarketing finns
and create infonnation, the fonn and substance of which shall be mutually
agreed to by and between both parties herein, setting forth program service
infonnation to be distributed.
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f) To provide storage of information.
g) To ensure that all licenses, filing, permits and registrations, as may be required
by governmental agencies are filed in a timely fashion, pursuant to ACS's
portion of this Agreement.
5. DUTIES AND OBLIGATIONS FOR WIA: VVlA hereby acknowledges

and agrees to assume the following obligations, without limitation, as may be required
from time to time throughout the course of this agreement:
a) Not to enter into any agreement or arrangement; or to allow telemarketing in

conjunction with the solicitation of funds, without the express written consent of
ACS throughout the term of this agreement, who may deny same without cause
or reason. VVIA may at any time recommend telemarketing fInns to ACS ,
whose responsibility will be to negotiate an agreement which shall be
mutually agreeable to all parties concerned. ACS will do said negotiating in
good faith at all times.
b) To cooperate with ACS in its search to locate qualified telemarketing

fmns to contract with VVIA, under the terms and conditions
consistent with the contents herein.
c) To designate an individual, or a committee of individuals, to act on

behalf of VVIA to coordinate and approve projects and materials.
d) To provide ACS written consent, upon reasonable request, as part of

any package that may be created by ACS, or implemented through
ACS, in a manner or means satisfactory to all of the parties.
e) To designate an individual, or a public information director from

VVIA, who will be available to speck with representatives of the
media or any official governmental agency.
f) To provide in an expeditious manner, upon request, information as to

local representation and participation of VVIA to designated calling
areas.
g) To ensure that all licenses, filing, permits and registrations, as may be

required by governmental agencies are filed in a timely fashion,
pursuant to VVIA's portion of this agreement.
h) To provide on a timely basis to ACS a list of all states where VVIA

is registered, and upon request, to show proof of same.
i) To hold ACS hannless from any potential law suit filed against
VVIA, due to a similarity in VVIA's name and/or programs to
another entity doing similar good works.
3
6.
COMPENSATION: All contracts arranged or provided by ACS shall set forth
acknowledge and agree that ACS shall be entitled to a fee for its services as provided
herein . Such funds shall come from collections and shall not exceed the agreed upon
percentage listed in exhibit "A" . Said amount shall represent the entire compensation
due ACS for its services, and shall be paid by VVTA to ACS on a basis set forth from
time to time by ACS, and not more than two (2) times per week. Funds will be wired
or sent by overnight mail service with next morning delivery, within twenty four (24)
hours of VVIA's receipt of deposit information from ACS.
7. COMPLIANCE 'NITH LA\X;S AND REGULATIONS: The parties

agree and covenant that each party is to be responsible for complying with its duties and
obligations pursuant to the laws and regulations of all States in which activities occur,
with respect to the public relations and sponsorship solicitation campaign. Each party is
to bear and to pay its own registration, licensing costs, fees and any other penalties
thereof of noncompliance.
8. PROOF OF REGISTRATION: Both parties do hereby agree to provide to the

remaining party proof of registration where applicable within fifteen (\5) days of the
request of the other party.
9. HOLD HARMLESS: Each of the parties do hereby agree to indemnify and hold
the other harmless from any and all damages, costs, expenses, anorney fees, as well as
all claims which may arise out of either party's conduct of its portion of this agreement.
10. MEDIA/GOVERNMENT RELATIONS: At no time shall ACS or any of its

representatives make statements, grant interviews or hold press conferences for or on
behalf of VVIA to members of the Press or Government. Should a member of the Press
or any Government agency request additional information about VVIA, then any such
inquires shall be referred to VVlA and VVIA advised of such inquiry. For purposes of
clarification, this does not include ACS's or VVIA's fulfillment of any state registration
requirements.
11. NOTICE: Any wrinen notice required pursuant to the terms of this agreement shall
at the following addresses:
VVIA: VIETNAM VETERANS OF lOWA, INC.

210 Walnut Street, Room 1045
ACS: Associated Community Services, Inc.

29777 Telegraph Road, Suite 3000
Southfield, Micbigan 48034
12. DONOR LIST: It is expressly understood and agreed by the parties hereto, that any
and all names and addresses contributed, if any, by persons, firms, associations or
4
corporations which are obtained, developed, compiled or otherwise acquired for VVIA,
by or through the direct or indirect efforts of ACS, in connection with any services
rendered under this agreement shall remain the property of both parties. It is further
understood and agreed by VVIA that VVIA shall not use or sell the said Donor List for
any telemarketing and/or direct mail fundraising purposes what so ever during the tenn of
this agreement, unless agreed upon in writing by ACS . VVIA further agrees and
acknowledges that it shall not use or sell the said Donor List for any telemarketing and/or
direct mail fundraising purposes for a period of twenty-four (24) months, after the
tennination of this agreement.
13. CANCELLATION CLAUSE: Either party may cancel this agreement as a or

violation of this agreement shall provide to the other a notice of said claim of default or
violation in writing, giving the party allegedly in default of violation a written
explanation of said default or violation, and a statement setting forth what steps must be
taken to cure same. The party receiving said notice shall have forty five (45) days to
either cure said default or violation, or commence activity designed to do so with due
diligence. If, after the elapsed period of time, the party claiming default or violation is
not satisfied with the cure, while the party alleged to have defaulted or violated said
agreement asserts cure is made, the parties agree to submit the issue to binding
arbitration.
In addition, either party may tenninate this agreement at its discretion at any
time within ninety (90) days written notice for cause. Cause for tennination shall
include, but not be limited to, any of the following reasons of misconduct:
a) A fmal detennination that VVIA is not exempt from federal taxation or if

either party is suspended and/or restricted by federal, state or local regulatory
authorities or court order of having or exercising jurisdiction from performance
of actions pursuant to this agreement;
b) A proven pattern of dishonesty of ACS regarding VVIA or this agreement;
c) Failure or refusal to fully and faithfully perfonn the duties of this agreement;
d) If ACS or VVIA is the recipient of adverse publicity due to the fault of ACS;
e) If VVIA is the recipient of adverse publicity that would, in the judgment of

ACS, affect its ability to make the campaign a fmancial success.
14. EXECUTION OF AGREEMENT: The parties expressly acknowledge and

agree that this agreement is not a valid and enforceable agreement until executed by the
designated officer ofVVIA and ACS.
15. CONFLICT WITH STATE LAW: If any of the provisions hereofare in

conflict with any applicable statute or rule of law, then such provision shall be deemed
inoperative to the extent that they may conflict therewith and shall be deemed to be
modified to conform with such statute or rule of law.
5
16. SEPARABILITY: Ifany provision or provisions of this agreement shall be held
to be invalid, illegal or unenforceable, the validity, legality and enforcement of the
remaining provisions shall not in any way be affected or impaired thereby .
17. LAW AND JURISDICTION: The parties agree that this agreement shall
be governed by and construed in accordance with the laws of the STATE of
MICHIGAN. [n the event of default, violation or any other question arising under the
tenns and conditions of the agreement which cannot be resolved by the parties hereto,
the matter, by consent of the parties, shall be submitted to binding arbitration. The
arbitration procedure shall take place in Chicago, illinois, and the resolution shaH be in
accordance with the rules of the American Arbitration Association. Said procedure
shall allow for the arbitrator to access the costs of the arbitration proceedings as he may
deem appropriate.
18. PURPOSE OF AGREEMENT: VVIA enters into this agreement with

ACS in order to combine the functions and expenses of public education, program
service, advocacy, donor acquisition, and donor renewal, all as to advance the program
service of VVIA. All printed matter shall provide infonnation and material about
VVIA, and include, from time to time as may be appropriate, educational material,
statements of program service, and explain the process by which VVIA hopes to
accomplish its objectives. The opportunity to develop and distribute such material,
together with the mediums produced and utilized by ACS is a material inducement for
VVIA to enter into this agreement.
All oral presentations and printed material shall either be created by VVIA
and/or developed by ACS to stress the above and foregoing program service
infonnation and public education function. All materials created by ACS shall be
reviewed by a representative of VVIA prior to being used.
19. MATERIALS: ACS agrees to use in its campaign only those

materials that have been produced or authorized by VVIA.
20. ASSIGNMENT OF AGREEMENT: This agreement may be assigned to

any other party by ACS without first obtaining in writing the consent of VVIA, which
shall not be unreasonably withheld or delayed. ACS may hire subcontractors without
ftrst obtaining consent from VVIA.
21. ENTIRE AGREEMENT: This agreement contains the entire agreement by

and between the parties hereto, and all prior understandings are merged herein. Any
amendments hereto, and all prior understandings, are merged herein. Any amendments
hereto must be in writing and signed by each of the parties herein.
22. BANK ACCOUNTS: All funds will be deposited into a bank located in the
Metro Detroit area in an account in the complete control of VVIA. VVIA shall be
responsible and will pay for any and all charges which may be charged by the banle
6
23. BINDING EFFECT: This agreement shall be binding upon and inure to
the benefit of the respective party's successors or assigns.
IN WITNESS WHEREOF, the parties herein have executed this agreement on the day and year first
above written.
WITNESS: VIETNAM VETERANS OF IOWA, INC.
c/(tJ~-- BY~'\ci),~
:=-v~~~~ \\ Its
Date \~ . d1 -Olu
1)au~eJ;;- :~
Date /;1-- Z g---c>~
WITNESS: ASSOCIATED COMMUNITY SERVICES, INC.
fL " fhcJA&
- ' i :iL.·t<- 7 · BY~~
7~ ~
Its· /~
Date I-V~7
7
7
EXHIBIT A
Exhibit to Agreement between VIETNAM VETERANS OF lOWA,

INC., (VVIA) and Associated Community Services, Inc. (ACS).
COMPENSATION
It is hereby agreed between VVIA and ACS that the commissions paid to ACS by VVIA
will be the following:
ACS will be paid eighty percent (80%) of the total gross collected funds and VVIA will
retain twenty percent (20%) of the gross collected funds.
WITNESS: VIETNAM VETERANS OF lOWA, INC.
~~- BY~~~~
I~~
Date i~ -d-~-o&
~~BY~
. 0--~ ~~:s Its
Date /;Z - 225- Or;,
WITNESS: ASSOCIATED COMMUNITY SERVICES, INC.
{!diJizt ~16< BY~

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Its ~~~
Date / -'7 -r? "7
8
Attorney General Tom Miller
Consumer Protection Division
Hoover State Office Building
1305 E. Walnut, Des Moines, Iowa 50319
515-281-5926
E-mail: consumer@ag.state.ia.us
PROFESSIONAL COMMERCIAL FUND-RAISER REGISTRATION
Please notice that the registration requirement is only for professional commercial fund
raisers as defined in Iowa Code Chapter l3C. Charitable or2anizations as defined in this
Chapter are not required to register.
Professional commercial fund-raisers must also complete the attached form, "Charitable
Organization Financial Information Disclosure Form," for EACH charity for which you
raise funds.
Instructions. To help us handle your registration :
I. Please download/print this fonn .

2. Please type or carefully print your responses. Answer all questions fully and correctl y .
3. Include all required attachments (the contracts, if applicable, and the Charitable Organization
Financial Information Disclosure Form) and a registration fee of $1 0 made payable to State of
Iowa. Attach additional pages if more space is needed to respond.
4. Return all of these forms to the Consumer Protection Division (address above).
PLEASE NOTE IMPORTANT OPEN RECORDS INFORMATION TOWARDS THE END

OF THIS FORM.
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I. Name of Professional Commercial Fund-raiser, including any d/b/a and trade names:
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Associated Community Services
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2. Address and telephone number of each office, chapter, branch or affiliate. Indicate the princillill
place of business: --:
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29777 Telegraph Road, Suite 3000 t'J
"CO
Southfield, MI 48034
248-352-2600
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"J . Form of business Corporation
(Individual, Partnership, Business Corporation, Nonprofit Corporation, etc.)
4. Identify the state in which registrant is organized or incorporated Michigan
Date organized or incorporated_2!_5_11_9_9_9 _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. Full name, title, address and telephone number of each officer, director, partner or managing
agent of the professional commercial fund-raiser:
Please refer to attached list of Officers.
6. Name, address, telephone number and title of the following person(s) for the professional
commercial fund-raiser:
a. The contact person(s) for the professional commercial fund-raiser:
Robert W. Burland, Jr.
29777 Telegraph Road, Suite 3000, Southfield, MI48034

b. The person(s) responsible for the day-to-day operations of the professional commercial fund
raiser:
Same as above
c. The person(s) who directs and controls the activities of the professional commercial fund
raiser:
d . The person(s) responsible for custody of the professional commercial fund-raiser's.recortrs:

, .
Same as above -;,
'. D
e. The person(s) responsible for custody of all funds raised by the professional comm~ rcial~{bnd -
raiser: r-.J
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-2
f. All persons managing or supervising fund-raising activities in or from Iowa:
Please refer to attached list of Phone Room Directors
7. Has the professional fund-raiser or any of the persons listed in response to Numbers 5 or 6 ever
been a party to any litigation, criminal or civil, involving claims of theft, fraud , unfair or
deceptive trade practices, conversion, mismanagement of funds, breach of fiduciary duty, or any
other claim involving alleged dishonesty?
DYes roNo If yes, attach detailed explanation as to agency involved, date, court, claim and
disposition. Attach copies of all complaints, petitions, settlement agreements, plea agreements,
assurances, consent judgments, final judgments, convictions, and/or other agreements or orders
resolving the matter.
8. Name, address and telephone number of the registered agent for service of process in Iowa:
Secretary of State
9. Is the professional fund-raiser registered to solicit funds in other states?
I8IYes DNo If yes, attach a list of all other states.
10. Has the professional fund-raiser's right to solicit funds ever been denied, suspended, revoked or
enjoined by any state or by any court, or are there any such proceedings pending?
I!IYes ~_ 1\10 If yes , attach a detailed explanation.
II . Has the professional fund-raiser been the subject of a legal, administrative, or other proceeding
regarding any solicitation or registration as a solicitor or fund-raiser? Ifso, state the date,
location and nature of each such proceeding and the outcome of the proceeding.
~'.I..!'------------
12. Does the professional fund-raiser have custody of or access to contributions from a solicitation at
any time?
DYes MNo
13. Does registrant anticipate that any of the services it will provide to charitable organizations will
be provided by another entity under a subcontractor arrangement?
DYes ~No If yes, please identify the charity and the subcontractor below: (Attach a
list if more room is needed.)
-3
Charity Subcontractor Name & Address
Is registrant's contract with subcontractor filed with the office of the Iowa Attorney General?
DYes DNo DAttached
14. Complete a Financial Information Disclosure form for each charitable organization for which you
will be soliciting money in or from Iowa.
Note: If additional contracts are entered into after the filing of this registration statement, submit a copy
of the new contract at that time.
Note: All information and documentation provided as part of this registration, including this form are
public records and all or some may be open to public inspection pursuant to the Iowa public
records law, Iowa Code chapter 22, and the Iowa Attorney General's Administrative Rules
relating to public records, 61 lAC chapter 2.
SIGNATURE
I hereby certify that I am authorized to sign this Registration and that the information provided is
true and complete to the best of my knowledge.
Date ,- v -,0 (\. W;lI,~t\". C>().(1ch-d :Ie.

I
Name (Print)
:rres'lckfl~
T;tle~.
'" , ~ure
State of ;J?;,~
County of (;~7aL~J
7-(& ~/o (date) by
-"'}-f"" ,,:pLIO......, 1,LL,(names of person(s) maki'RK statement).
-4
-
(Seal)
~"j:2
My commission expires
s
5-1 ·7 -20/0
AMBER MARIE MAGRO
Notary Public, StaIB of Michigan
County of Oakland
My COrm1SSkln ~y. 17, 2016
Actioo in the CoLrtY 01.
-5
Associated Community Services
LISTp F CONTRACTS
..J.utism Spectrum Disorder Foundation, Inc., 228 W. Lincoln Highway #301, Schererville, IN
46375
Contract Term: to , Campaign Period: 11-17-2008 to
Cancer Fund of America, Inc., 2901 Breezewood Lane, Knoxville, TN 37921
Contract Term : to, Campaign Period: 02-21-2007 to
/ Cancer Recovery Foundation Of America, 6380 Flank Drive, Suite 400, Harrisburg, PA 17112
C ontract Term: to , Campaign Period: 06-08-2009 to
IChildren With Hair Loss, Inc., 12776 Dixie Hwy., South Rockwood, MI48179
Contract Term: to , Campaign Period: 06-01-2005 to 11-30-2019
,t'l ildren's Cancer Fund of America, Inc., 2317 W. Emory Road, Powell, TN 37849
f ontract Term : to , Campaign Period: 09-09-2005 to 05-31-2023
JDisabled Veterans Services, Inc., 364 Industrial Park Drive, Mount Juliet, TN 37122
Contract Term: to , Campaign Period: 06-09-2008 to
'Firefighters Assistance Fund, Inc., 10050 Burnt Store Road, Punta Gorda, FL 33955
ontract Term: to , Campaign Period: 06-01-2006 to
Firefighters Charitable Foundation, Inc., One West Street, Farmingdale, NY 11735
IContract Term : to, Campaign Period: 03-01-2009 to
I Foundation for American Veterans, Inc., 7473 Wilshire, W. Bloomfield, MI48322
I Contract Term: to, Campaign Period: 11-01-2009 to
f Law Enforcement Alliance of America, Inc. , 5538 Port Royal Road, Springfield, VA 22151
/Contract Term : to , Campaign Period: 05-01-2010 to
/ I,J8W Enforcement Education Program, 667 E. Big Beaver, Suite 205, Troy, MI48083
Cp ntract Term : to, Campaign Period: 08-23-2004 to 12-31-2005,05-15-2006 to
National Children's Leukemia Foundation, 7316 Avenue U, Brooklyn, NY 11234
t ontract Term: to, Campaign Period: 05-23-2005 to 02-10-2022
JOperation Lookout National Center for Missing Youth, 6320 Evergreen Way, Suite 102,
Everett, WA 98203
Contract Term : to, Campaign Period: 11 -27-2006 to
f e Breast Cancer Society, Inc., 6859 E. Rembrandt Avenue, Suite 128, Mesa, AZ 85212
I Contract Term: to, Campaign Period: 07-14-2008 to

United States Navy Veterans Association, 7028 W. Waters Ave. #325, Tampa, FL 33634
96ntract Term: to, Campaign Period: 06-20-2005 to 11-30-2015
;Vietnam Veterans of Iowa, Inc., Missing
j ontract Term : to, Campaign Period: 01-29-~007 to .
. Youth Development Fund, Inc. , 8 Canberra Dnve, Knoxville, TN 37923
Contract Term: to, Campaign Period: 12-15-2009 to

Associated Community Services, Inc.
List of Officers I Shareholders
Robert William Burland, Jr. 50%

(248)352-2600
Richard T. Cole 50%

Southfield, MI48034
(248)352-2600
LIST OF PHONE ROOM DIRECTORS
Nikole Dicks Dearborn

23400 Michigan Avenue P-12 Ml48124
Richard Garon Southfield

29777 Telegraph Rd, Ste 3000 MI48034
Antonio G. Lia Southfield

29777 Telegraph Rd , Ste 3000 MI48034
John J Lucidi Southfield

Jeffery Mijat Dearborn

23400 Michigan Avenue P-12 MI48124
Scot Stepek Southfield

LIST OF PHONE ROOM LOCATIONS
29T77 Telegraph Road, Suite 3000 Southfield 248-352-2600
MI48034
23400 Michigan Avenue P-12 Dearborn 313-565-6725
MI48124
IOWA ATTACHMENT
QUESTION NUMBER 10
On June 16, 2009, the Charitable Licensing Division of the State of North
Carolina issued an order alleging that Associated Community Services failed to timely
file certain information with its office and, in connection therewith, suspended its license.
The agency subsequently withdrew its order and all issues are currently considered
resolved. A copy of the agreement is attached.
On May 18, 2010, the Oregon Department of Justice filed a lawsuit against
registrant and its client, Veterans of Oregon and Members of the Community, alleging
violations of Oregon laws governing telemarketing and charitable solicitations.
Registrant is filing an answer to the complaint in which it denies the allegations.
" ) .~)
)
In the Matter of: )
ASSOCIATED COMMUNITY SERVICES,
)
INC. )
)
) SETTLEMENTAGREErumNT
)
R. William Burland, President )
29777 Telegraph Rd, Ste 3000
)
Respondent )
)
)
}
This Settlement Agreement is entered into by the Charitable Solicitation Licensing Division
[hereinafter "CSL"] of the North Carolina Department of the Secretary of State [hereinafter
"Department"] and Associated Community Services, Inc. [hereinafter "ACS"] to resolve the
provisions, including financial penalties, of an Order issued on June 16, 2009, by CSL. The
Order imposed penalties pursuant to the North Carolina Charitable Solicitation Act, § 131 f-l el
seq. andlor Rules implementing the Act. It also suspended the license of ACS and directed that
certain additional information be provided to CSL regarding activities that were the subject of
andlor that were related to the Order.
WHEREAS, the Charitable Solicitation Licensing Division (CSL) of the North Carolina
Department of the Secretary of State is the Division charged with charitable solicitation licensing
and enforcement in North Carolina under the Charitable Solicitation Act and Chapter 11 of Title
18 ofthe North Carolina Administrative Code; and
WHEREAS, on June 16,2009, CSL issued an Order signed by CSL D4'~ctor, Heather L.
Black, to Associated Community Services, Inc. assessing penalties pursuant to the Charitable
') )
Solicitation Act and relevant Rules and requiring ACS to proyide CSL with information about
specific activities of the organization; and
WHEREAS, the Order was properly served and included a Notice of Appeal Rights to
the Office of Administrative Hearings (OAR) in compliance with Article 3 of the North Carolina
Administrative Procedure Act, N. C. Gen. Stat. § 150B; and
WHEREAS, Pauline F. Laubinger, CSL Attorney, and I-leather L. Black, CSL Director,
entered settlement discussions and negotiations with Nathan Thomas and EITol Copilevitz,
attorneys with the law firm ofCopilevitz & Canter in Kansas City, MO, that assists ACS with its
charitable solicitation fiJings and issues arising therefrom; and
WHEREAS, negotiations have been successful with the terms of this Agreement having
been reviewed and consented to;
THEREFORE, the parties have agreed to settle all outstanding issues related to the Order
issued to ACS and dated Jlllle 16,2009, through this Settlement Agreement, the specific tClms of
which are listed in the subsequent numbered paragraphs. The parties agree as follows:
1. Associated Community Services, Inc. through its President, R. William BurJand,
and the Chal'itablc Solicitation Licensing Division (CSL) of the North Carolina Department of
the Secretary of State, through its Director, Heather L. Black, agree to the tenns as outlined
further in this Settlement Agreement to resolve aU issues, including the financial penalty and
license suspension, in the Order issued by CSL to ACS on June 16,2009.
2. In lieu of the financial penalty accrued under the Order of June 16, 2009, ACS
agrees to pay by check or money order the amount of $10,000.00 (Ten Thousand Dollars).
:) )
Payment will fully satisfY all financial obligations imposed by the terms of the Order if made
timely and in accordance with Paragraphs 3, 4, and 5 ofthis Settlement Agreement.
3. A first payment of $2,500.00 (fwo Thousand Five Hundred Dollars) is due to
CSL on or before Monday, August 10, 2009, by the close of business (5 p.m.), together with one
signed original ofthis Sett1ement Agreement. All signatures must be under oath before a Notary.
4. Three additional payments of $2,500.00 (Two Thousand Five Hundred Dollars)
each must arrive at the Charitable Solicitation Licensing Division of the North Carolina
Department of the Secretary of State by the close of business (5 p.m.) on or before the elates set
forth in the following schedule:
n. Monday, August 31, 2009
h. Wednesday, September 30,2009
c. Fdday, October 30, 2009
5. AI! payments listed in Paragraphs 3 and 4 shull be made payable to the North
Carolina Secretary of State and sent to the attention of Pauline F. Laubinger, CSL Attorney, at
one of the following addresses:
North Carolina Department of the Secretary of State

CharitabJe Solicitalion Licensing Division
Post Office Box 29622
Raleigh, NC 27626-0622
For an overnight mailing, use the fonowing address:
North Carolina Department ofthe Secretary of State

Charitable Solicitation Licensing Division
2 South Salisbury Street
Raleigh, NC 27601
6. Any breach of this Settlement Agreement, including failure to pay by the due
date, shall result in the entire payment assessed under the terms of this Agreement becoming
) )
immediately due, together with a financial penalty of $500.00 (Five Hundred Dollars) for failure
to comply with the terms of this Settlement Agreement.
7. CSL will provide written notice ofthe breach and set a date certain for payment in
full that wiU be no later than fifteen (15) days from the date of the breach.
8. If payment in compliance with the aforesaid notice of breach from CSL is not
made on or before the payment deadline, without further notice, CSL will issue an Order to
assess financial penalties up to $1,000.00 (One Thousand Dollars) per day for each day for each
day the entire amOlmt due, including any amounts accrued under the Order for additional
financial penalties, is not paid.
9. ACS acknowledges that by entering into this Agreement, it agrees to withdraw
with prejudice the contested case filed at the North Carolina Office of Administrative Hearings
and ~y not challenge any of the provisions of the aforesaid Order of June 16, 2009, at the
Office of Administrative Hearings,
10. In addition, ACS agrees that it will not challenge any provisions of the aforesaid
Order of June 16,2009, in any other judicial forum, whether state or federal, in North Carolina
or elsewhere, whether or not the challenge is barred by lhe applicable statute of limitations.
11. CSL acknowledges that ACS retains, in all future actions taken by CSL with
regard to ACS, all rights of appeal and any other rights under applicable law.
12. Withdrawal of the contested case at the Office of Administrative Hearings must
occur not later than ten (10) days from the date this Settlement Agreement becomes effective,
which is the date that Mr. Burland signs it Wlder oath before a Notary.
' ") )
13. By entering into this Settlement Agreement, ACS acknowledges that it has the
sole responsibility to contact OAR and to provide the documentation required by OAR for
withdrawal ofthe contested case.
14. Within ten (10) days of the filing ofwithdrawaI documents with OAH, ACS will
provide CSL with copies of all documents filed at OAH in accordance with Paragraph 12 so that
CSL has a record that the Petition for a Contested Case Hearing has been withdrawn/dismissed
with prejudice.
15. The parties agree that CST. does not waive any authority on behalf of the
Secretary of Slate Lo take action in the futmc for any and all violations or aUeged violations of
the Charitable Solicitation Act, N, C. Gen. Stat. § l3lIq et seq. and the relevant Rules
provisions found in Chapter II of Title 18 of the North Carolina Administrative Code. CSL's
authority extends to matters of which CSL already has knowledge, excluding matters related to
the Order oUnne [6, 2009, and to malleI'S of which CSL subsequently becomes aware.
16. Entt'y into this Settlement Agreement by ACS is not an admission of liability for
the violations set forth in the Order of June 16,2009. ACS, however, does not challenge the right
of CSL to ask for and receive the information that ACS has now provided to CSL, as olltlined in
Ms. Laubinger's letter dated May 27, 2009, to Mr. Burland,
17. ACS acknowledges receipt of written notice in the aforesaid letter dated May 27,
2009, that if response to the matters outlined in the letter was not forthcoming by June 8,2009,
an Order imposing a penalty at the rate of $1,000.00 (One Thousand Dollars) per day would be
issued by CSL and that the penalty would continue to accrue until compliance occurred.
) )
~ Heather L. Black, Director

Charitable Solicitation Licensing Division

North Carolina Secretary of State
Sworn to and subscribed before me,

This the L[ day of ~ ,2009.
~
otary Public
i~sion expires: (p. ~ 7- ,).0 1/
515-281-5926
DISCLOSURE FORM
NOTE: THIS FORM MUST BE COMPLETED FOR EACH CHARITABLE
ORGANIZA nON THAT RECEIVES FUNDS SOLICITED IN OR FROM lOWA
Instructions. To help us handle your registration:
1. Please download/print tbis form.

2. Please type or carefully print your responses. Answer all questions roily and correctly.
3. Return this form(s) with copies or contract(s), ir applicable and the Professional Commercial
Fund-raiser Registration Form to the Consumer Protection Division (address above).
I. Name of Professional Fund-Raiser: AUTOMOTrvE RECOVERY SERVICES, fNe.
2. Identify the charitable organization for which you will be soliciting money within the
State oflowa during this registration period. (If more than one charitable organization,
file a separate Financial Information Disclosure form for each.)
A. Name: Iowa Council of the United Blind
B. Address and telephone number of the charitable organization:

3912 Southeast Fifth Street
Des Moine, fA 50315
C. Name, title, address and telephone number of the contact person(s) for the
charitable organization:
Donna Seliger; (515) 284-{J505
Page 1 of 5
3. Beginning and ending solicitation dates _UIl9i~o through ongoing (automatic annual renewal)
4_ Is the contract between the professional fund-raiser and the charitable organization on file
with the office of the Iowa Attorney General?
o Yesl8lNo Ifno, attach a copy of the contract to this form. AITACHED
o Telephone DDoor-to-door DElectronic Media (TV, radio)DDirect Mail

o Print media (magazines, newspapers) 18I0ther INTERNET
6. If persons will be contacted by telephone and mail, how will the initial contact be made?
o Telephone UMail N/A
7. Ifsoliciting will be conducted by telephone, provide the following regarding the location
from which calls will be made. (If more than two locations, continue on a separate sheet):
N/A
Room 1
a. Address of telephone room (Include street, city and state):
- - - - -- , .. - ~ - .- - - --- - ----_ ._------ -. --. --_. __ ._- - -.

b. All telephone number(s) from which solicitations are made: ___ .______ ___ _ _ .__.____._.
c. Name(s) of manager(s) and/or supervisor(s) of the room:
- - - - - - - -- .. - - -- .- - - - --.- .....-- - - - - - --- - --- - - - - - - --

Room 2
a. Address of telephone room (Include street, city and state): _
b. All telephone number(s) from which solicitations are made: ___ ..___.__ __ ____ __ ._ .. _.
c. Name(s) ofmanager(s) and/or supervisor(s) of the room:
- -- -_ ._-_._----- .. --.-- ..
8. Will the solicitation campaign involve the sale of goods or services? Yes @
Page 2 of 5
If yes, check one or more of the following that apply:
o Tickets to an event 0 Advertising space in a program book, journal, or other
Other (descri be) N!A
--~--~~--~--~----~~~~~~--~--~--~~----~
9. Will the professional fund-raiser collect donated funds directly from the donor( s) in person?
DYes 181 No
If "No," describe how the funds will be collected. Automotive Recovery Services will pick up the
donated vehicles, prepare them for and sell them at auction, and remit the proceeds to the charity.
10. If contributions will be made by mail, identify all addresses to which the mail will be sent.
If any of the addresses are different than the addresses listed in response to question 2 B,
please state: (1) whether the address is that of a post office box, commercial mail service,
bank of the professional fund-raiser or the address of a charitable organization; (2) the NfA
N/A
11. State which of the following has the authority to withdraw the funds from any banking
oo Neither
Professional fund-raiser I8iCharitabJe Organization DBoth or either
(please explain)
@ No
13 . On an attached sheet, describe the charitable program for which the solicitation campaign is
being carried out.
Page 3 of 5
FINANCIAL INFORMATION
a. Total amount of money collected by the professional commercial fund-raiser in

N/A NEWLY REGISTERED
b. Itemize the source(s), and dollar amounts per source, of all funds collected on
tickets to events, government grants, private charities, foundations. etc.)
NI A NEWLY REGISTERED

(l) Total given to charitable organization NfA NEWLY REGISTERED
charitable organization: Itemize by dollar amount based on the following and any
other applicable categories: salaries/commissions/compensation; rent/mortgage;
advertisi ng/promotion, etc.:
(3) State the total dollar amount billed to the charitable organization by the
amount:
Page 4 of 5
Note: All infonnation and documentation provided as part of this registration, including this
Iowa public records law, Iowa Code chapter 22, and the Iowa Attorney General's
Note: Any changes or additions to the information provided in this notice must be reported
immediately.
SIGNATURE:
State of Crt \I ~{y" C{. )
County of La; ¥~ )
) ss.
1. JOHN R. LE~~~_~_ , being first duly sworn on oath, depose and state that I am a
managing agent of the professional fund-raiser; that I have read the contents of this Charitable
Organization Financial Disclosure Form; that I know the contents thereof, and that each
statement made and each answer given is true to my ~wn knowlepg
D,MANAGER
Subscribed and sworn to before me on 0 I 1r2~ /'2.--(:; II

I 7
DANIEL DE LUNA·MARTlNEZ ·~~I}i~I.~lvi'11-M'h,~~

Notary Public
-9tNtUJj!'~~
•
Commislion II t9Ol287
NotIrJ PuIIIIc: • California
Lot AfttIItI County
COIMI. Eutr.. Oct t5. 20t 4
Page 5 of 5
AGENCY AGREEMENT
TIllS AGREEMENT, is made and entered by and between THE VEHICLE DONATION PROCESSING
CENTER, INC. a for-profit corporation, with offices at 626 So. Primrose Ave. Monrovia, CA 91016-3434
(hereinafter referred to as "Processor") and Iowa Council Of The United Blind, a tax-exempt organization, with
offices at 3912 Southeast Fifth Street, Des Moines IA (hereinafter referred to as "Charity'i).
The parties understand that Charity has the ability to successfully solicit for the donation of vehicles and other
valuables; and Processor has the expertise in securing and liquidating the donated vehicles, etc., and in
consideration of the mutual benefits contained herein, the parties agree to proceed as follows:
1. PURPOSE OF THE AGREEMENT. Charity does hereby retain the services of Processor to work under
Charity's direction and control in the conduct of Charity's vehicle donation program. Processor shall be entitled
to act on behalf of Charity only when specifically authorized by Charity to do so.
2. TERM. The term of this Agreement shall commence on the date it is signed by the parties, and shall be
for a period of one (I) year, which shall be automatically renewed unless either party gives written notice to the
other of its intention to allow this Agreement to expire. Said notice shall be given no less than sixty (60) days
prior to the date of expiration. If this Agreement is not otherwise terminated, it shall renew on an annual basis,
with either party having the right, at any time, to terminate the agreement on ninety (90) days written notice. In
the event that this agreement is tenninated, for any reason, all advertising expense will cease, at the end ofthe
cancellation period.; However, going forward, any further offers of acceptable donations to processor, on behalf
of charity, will continue to be processed in the manner proscribed by this agreement ,(i.e. where 50% of net
proceeds are paid to charity); unless charity specifically instructs processor, in writing, to divert processing of
such post cancellation offers to donate, to another charity of processor's choosing.
3. OBLIGATIONS OF CHARITY. In the conduct of its vehicle donation program, Charity shall determine
both the media and content of aU advertisements placed in a solicitation made to the general public. Charity will
provide the necessary paperwork and assist Processor, when appropriate, with providing receipts for qualified
vehicle donations.
4. OBLIGATIONS OF PROCESSOR. Processor agrees to act in accordance with Charity'S instructions in
making arrangements for delivery of vehicles and delivering the necessary documents evidencing receipt of any
contribution. Processor acknowledges that Charity reserves the right to take possession of any vehicle donated
and/or to give instructions for having said vehicle delivered to an independent and/or public auction for the
purpose of sale.
5. DIVISION OF PROCEEDS. The proceeds received from the sale ofan auctioned vehicle, boat, parcel of
real property, etc., shall be divided as follows, less the agreed upon expenses, to-wit:
(a) Actual towing fee.
(b) A fee of Seventy-Five ($75.00) Dollars to Processor for administrative overhead, data processing,
postage, telecommunications costs, insurance, permanent filings, transfer documents, etc.
(c) Cost of advertising.

(d) Auction fee.
(e) Any actual reconditioning costs, smog fees, berthing fees, property taxes, etc. for the donated
vehicle or donated item, parcel, etc.
(f) Appraisal fees, when required.

Thereafter, the net proceeds shall be divided equally between the parties. Charity's monthly statement (and check,
ifapplicable for their share of net proceeds) will arrive by US mail prior to the end of the next month.
6. SOLICITATION OF DONATIONS. Charity, shall conduct a solicitation through media as it may
determine, to request the donation of vehicles from members of the pUblic.
7. INDUCEMENT. To induce Charity to use its services, Processor agrees to hold Charity hannless from
any and all claims or losses, arising out of Processor's activjties on behalf of Charity. Processor warrants and
represents to Charity that it will not suffer any net loss as a result of the acceptance of any vehicle.
&. NOTICES. All notices contemplated by the terms of this Agreement shall be in writing and sent either by
first class U.S. mail, postage prepaid, to the respective party as set forth in this Agreement, or by facsimile
transmission or actual delivery to the other.
9. SITIJS. The parties acknowledge and agree that this Agreement is made and entered into in the state of
California and the laws ofthe state of California shall govern.
]O. BINDING ARBITRATION. Any dispute that arises between the parties over the interpretation or
conduct of this Agreement shall be resolved by submitting the matter to binding arbitration in accordance with
the rules of the American Arbitration Association. The situs of the arbitration shall be Monrovia, California. The
decision ofthe arbitrator shall be final and non-appealable.
11. ENTIRE AGREEMENT. The above and foregoing represents the entire agreement by and between the
parties. All previous oral understandings or written agreements are deemed merged herein. A prior written
agreement between the parties is deemed tenninated as ofthe date hereof This Agreement may not be modified
except in writing by a docwnent signed by each of the parties. It is intended that each Paragraph of this
Agreement shall be viewed as separate and divisible, and in the event that any Paragraph shall be held to be
invalid, the remaining Paragraphs shall continue to be in full force and effect.
12. BINDING EFFECT. This agreement shall be binding upon and inure to the respective party's successors
and assigns.
IN WITNESS WHEREOF, the parties have executed this Agreement on dates set forth herein below.
VEHICLE DONATION PROCESSING Iowa Council Of The United Blind

CENTER. INC. CHARlTY
By(r7. ~~~ By: ,k. dv "')tb / " a0L~~

President 9t4~
Title: {~1<. .d<'~~ "
Dated:
. A (~,J006
tY" . .h.:I
..,. . .dt' a;h '"~
Address: i 'fI~ . s.f2.a 5>.3 IS'
~ '51 k l -M ,,,
501(c)(3) # 1;6 - /~21 <(711 *
*NOTE: Please a.lso include a copy of the IRS letter of determination authorizing the 501(c)(3) status.
December 1,2010
Ladies and Gentlemen:
Automotive Recovery Services, Inc., an Indiana corporation (the "Buyer"), and Vehicle Donation
Processing Center, a Nevada corporation (the "Seller"), are parties to that certain Asset Purchase Agreement
(the "Purchase Agreement"), dated as ofNovernber 19,2010.
1. The Seller hereby agrees and acknowledges that, as of November 19,2010, in accordance with
and subject to the terms and conditions set forth in the Purchase Agreement, the Seller sold, assigned,
transferred, conveyed and delivered to the Buyer all of the Seller's right, title and interest in, to and under its
agreement with Iowa Council Of The United Blind (the "Assigned Contract").
2. The Buyer hereby agrees and acknowledges that, as of November 19,2010, in accordance with,
and subject to the terms set forth in, the Purchase Agreement, the Buyer accepted and assumed from the Seller
all of the Seller's right, title and interest in, to and under the Assigned Contract.
3. Each of the Buyer and the Seller acknowledges that the Assigned Contract is freely assignable
and that they know of no facts or circumstances that would in any way impede the assignment thereof.
IN WITNESS WHEREOF, the undersigned have executed and delivered this letter agreement as of
the date fIrst above written.
THE BUYER
Automotive Recovery Services, Inc.
crwtbd-
By:_ _ _ _ _ _ _ _ _ _ _ __
Name: Jo1m W. Kett
Title: Chief Financial OffIcer
THE SELLER
Vebic,e,,,A, ""'A'~..,Q.er
By: -,~ X,., ~
Name: Jobf R. Learned
Title: President
515-281-5926
raisers as defined in Iowa Code Chapter 13e. Charitable organizations as defined in this
raise funds.
Instructions . To help us handle your registration:
I. Please download/print this form.

2. Please type or carefully print your responses. Answer aU questions fuJJy and correctly.
Financial Information Disclosure Form) and a registration fee of $10 made payable to State of

OF THIS FORM.
Automotive Recovery Services
2. Address and telephone number of each office, chapter, branch or affiliate. Indicate the principal
place of business:
69 Hinckley Rd.
Clinton , ME 04927
600-610-0071
-1
Corporation
3. Form of business
---------------------------------------------------
Indiana
4. Identify the state in which registrant is organized or incorporated________
12/13/2000
Date organized or incorporated_______________________
See Attached

Michael Batchelor - Director of Diversified Services
13085 Hamilton Crossing Blvd
Carmel, IN 46032
317-249-4565
raiser:
Susan Hughes - Operations Manager
69 Hinckley Rd .
Clinton, ME 04927
207-426-5142
raiser:
Michael Batchelor - Director of Diversified Services
13085 Hamilton Crossing Blvd .
Carmel, IN 46032
317-249-4565
d. The person(s) responsible for custody of the professional commercial fund-raiser's records:
John Kett - CFO
2 Westbrook Corporate Center
-----vlestchester, IL 60154
708 - 492-7304
e. The person(s) responsible for custody of all funds raised by the professional commercial fund
raiser:
Susan Hughes - Operations Manager
69 Hinckley Rd
Clinton, ME 04927
207-426 -5142
-2
Susan Hughes - Operations Manager Pam Ellis - Supervisor
69 Hinckley Rd. 69 Hinckley Rd.
Clinton, ME 04927 Clinton, ME 04927
20'7 42(; 5142 8QQ 1i1Q 0071
been a party to any litigation, criminal or civil, involving claims of theft, fraud, unfair or
DYes E9No If yes, attach detailed explanation as to agency involved, date, court, claim and
David Crowder
rAt. Des ""hles B<afteh Plaflage<
1914 East Euclid
Des Moines. TA 50313
UYes DNo If yes, attach a list of all other states.
DYes fl9No If yes, attach a detailed explanation.
1I. Has the professional fund-raiser been the subject of a legal, administrative, or other proceeding
regarding any solicitation or registration as a solicitor or fund-raiser? If so, state the date,
No
any time?
fl9Yes DNo
J 3. Does registrant anticipate that any of the services it will provide to charitable organizations will
DYes UNo If yes, please identify the charity and the subcontractor below: (Attach a
Jist ifmore room is needed.)
-3
DYes DNo DAttached
SIGNATURE
Date 5/ LP ) bLolo Mi c hael Batchelor
Name (Print)
Director of Diversified Services
Title
M;ft;?: ~
~ignature
Stateof H.~ PAMElA ELL.L9

. . Notary PutlIic, Maine
County of Kennebec. MtCommisslon~slqlltv
Signed and sworn to (or affirmed) before me on 5/ Lot to (date) by
.!.M---..!:~( .!.b~W~
C",-
' , ~.<--~' O~~+-I==.In.dLW' «>6=-~=-_ _- - ( names of person(s) making statement).
-4
(Seal)
(Signature of Notary Public)
My commission expires 5/ qJIG
-5
13085 Hamilton Crossing Blvd.
Automotive Recovery Services Carmel, IN 46032
May 6,2010
State of Iowa
RE: Application for Registration as a Professional Fundraiser
Dear Sir or Madam:
Per the Professional Fundraiser application form please see the following responses.
Question 5 - Full name, title, address and telephone number of each officer, director, partner or
managing agent of the professional commercial fund-raiser
Name Title Address Telephone Number

Thomas O'Brien CEO 526 S. Blackstone 708-492-7000
La Grange, IL 60525
John Kett CFO 422 Fairview 708-492-7304
Elmhurst, IL 60126
Patrick Walsh VP 3038 Jason St. 708-492-7224
Carmel, IN 46033
Sidney Kerley Secretary 30 E. Huron, Unit 4507 708-492-7369
Chicago, IL 60611
Michael Batchelor Director 5852 W. Bayfield Dr. 317-249-4565
McCordsville, IN 46055
Susan Hughes Manager 71 Eames Rd 207-425-5142
Winslow, ME 04901
• Page 2 May 6, 2010
Question 9 - Attach a list of all other states where Professional Fundraiser is registered
California
Colorado
Connecticut
Kansas
Kentucky
Louisiana
Maine
Michigan
Missouri
New Hampshire
North Carolina
Oklahoma
Pennsylvania
Rhode Island
Utah
Wisconsin
Sincerely,
jlf7jAf2
Michael Batchelor
Director of Diversified Services
515-281-5926
DISCLOSURE FORM
NOTE: TmS FORM MUST BE COMPLETED FOR EACH CHARITABLE
ORGA.l\{(ZATION THAT RECEIVES FUNDS SOLICITED IN OR FROM IOWA
1. Please download/print this [onn.

3. Return this form(s) with copies of contract(s), if applicable and the Professional Commercial
1. Name of Professional Fund-Raiser:Q-...C2vs:Wr ~e f~:IIrctcPIDV\.S' ;cnc.......
State of Iowa during this registration period: (If more than one charitable organization,
file a separate Financial Information Disclosure fonn for each.)
B..
Name IoW "'"- ~f~ SX;\d""o-i} \==-\~
Address and telephone number of the charitable organization:
'H'F"
c.. Name, title, address and telephone number of the contact person(s) for the
\) '-chalitakle organization: \ n
'T'\ \ c¥.-- ~ . :s C&, Q\l~/ J
~S- 2'\ b~~~ 3j"-7d.-.l- i:Aby
\'N}.j' \ 0""'" '"I.'A 5 d..30 2-
Page 1 of 5
3.
4.
Beginning and ending solicitation dates 01 01 through #01
Is the contract between the professional fund- iser and the charitable organization on file
(i;j No Ifno, attach a copy of the contract to this fonn.
5. Solici in will be conducted by (Check one or more that apply):
Gele hone Door-to-door Electronic Media (TV, radio) Direct Mail
t media (magazines, newspapers) Other
6. ~ill be contacted by telephone and mail, how will the initial contact be made?
~Mail
7. If soliciting will be conducted by telephone, provide the following regarding the location
~ml \
a. Address oftelephone room (lw:lude street, city and state)(Su.'::D CO ~o\Jo ~)
I ~ { £ " ~€(' ;c#\
V\ ftV'€.--
1,) PS--t ~ S~{)\V'-...9
\f\
=+~ s ,-
~O Y3
b. All telephone number(s)from which solicitations are made: _ _ _ _ _ _ _ _ _ __
c. Name(s) ofmanager(s) and/or supervisor(s) of the room: _ _ _ _ _ _ _ _ _ _ __
(\-1(\,&"-/ Co V\ 5i-A+/ 1~
Room 2
a. Address of telephone room (Include street, city and state): _ _ _ _ _ _ _ _ _ __
b. All telephone number(s)from which solicitations are made:_ _ _ _ _ _ _ _ _ __
8. Will the solicitation campaign involve the sale of goods or services? Yes 6)
Page 2 of 5
Other (describe)_=--=------:_,--_--:-::-_-,--_--:-::---:---:-:---,,--,--_:---::--_-:---:--_ _
9. Will the professional fund-raiser collect donated funds directly from the donor(s) in person?
Yes ~~
If"No,~Cribe how the funds will be collected. _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
If any of the addresses are different than the addresses listed in response to question 2B,
bank of the professional fund-raiser or the address of a charitable organization; (2) the
\e:J S o uj y LA} 0. ~c;?;I ~ uJ~
II. State which of the following has the authority to withdraw the funds from any banking
Professional fund-raiser ~table Organization Both or either
Neither (please explain) ~
Yes c;J
being carried out.
Page 3 of 5
a. Total amount of money collected by the professional commercial fund-Taiser in

any manner on behalf of the charitable oTganization:
-$ \~3t 333,o±
b. Itemize the sOUTce(s), and dollar amounts per SOUTce, of all funds collected on
behalf of the chaTitable oTganization: (contributions or donations; payments for
tickets to events, government grants, private charities, foundations, etc.):
-te\€\\)~~ , SO> ~S \\ CO~3r \ \J4 Jo'v\.S'

$ \ ~~13'?2~(O t
(1) Total given to charitable organization $ tM; \o~" \0 \
~O"'J'~ \ LO~<f6?~1'~
Cb r ~o (~ /1 (2-333. 3;>J
(.)) State the total dollar amount billed to the charitable organization by the
pTofessional commercial fund-raiser and itemize each such billing by purpose and ""\.
amount: . \ . _('" . _ n 9-()I1!lDrt-~.)
CS~ CO, ,T("'dvtt +11-<"5 0 ~"'C \ou; ':"1' .
S~ i'-±r{!, d7i~'Jf~IIc-- <;(hYYlNlLUl jJ;4lM r ~b J35J3
CJ2.J "S~ ¥ 7 ytl{C/! JM cL
~I
. ~~
$-~~lfB
j) 12-02.')
. /3 .
OS~;e---
~r\ ~ Page 4
-\of~ I /1;Md--.)O
t({J \ ~'!
~Cl( Q' O\f"l~ 1; 1171 b 7
fonn are public records and all or some may be open to public inspection pursuant to the
immediately.
SIGNATURE:
State of1=--\ () ( \ g ~ )
County of ~a v6oScO
) ss.
)
I, --3 Q5-R ~h 5e~ \ , being fIrst duly sworn on oath, depose and state that I am a
Organization Financial Disclosure Form; that I know the contents thereof; and that each
statement made and each answer given is true to my own know led
Subscribed and sworn to before me on I' y~ (. °Jl 1 ZC- l u .
CHERYL KUPKOVICH
MY COMMISSION #00645456
f~PIRES: FEB 28, 2011

Notary Pub ic )
Bonded through 1st State Insurance ,
Page 5 of 5
515-281-5926
raisers as dermed in Iowa Code Chapter 13C. Charitable organizations as defined in this
raise funds.


OF THIS FORM.
C E'A\tr- S~ f\t\tv0tc 'f\> lV\: .

place of business:
\'()') (2 o~cXcJV~ ~D o&,S*-,~\\
<. .'0
.
~; .,
,
-1
.' ...
3. Fonn of business C D ~()Ct?J: \0n
(Individual, Pa ershlp, BuslDess CorporatlOD, Nonprofit Corporation, etc.)
4. Idel1tify the state in which registrant is organized or incorporated F L

Date organized or incorporated D \, ~'5 \ .?JJ 03
\ ' 0$"9? f\ 6 ej~"" \

raIser:
raiser:
raiser:
-2
-rai~tiVities in or from Iowa:
DYes .¥ o If yes, attach detailed explanation as to agency involved, date, court, claim and
disposition. Attach copies of aU complaints, petitions, settlement agreements, plea agreements,
9. Is th?rofessional fund-raiser registered to solicit funds in other states?
r;r{es DNo If yes, attach a list of all other states.

----------------------------
oy "~NO If ye<. attach a detailed expIanat;on.
11. Has the professional fund-raiser been the subject of a legal, administrative, or other proceeding
regarding any solicitation or registration as a solicitor or ftmd-raiser? If so, state the date,
12. Does the professional ftmd-raiser have custody of or access to contributions from a solicitation at
any time?
~ DNo
13. Does registrant anticipate that any of the services it will provide to charitable organ.izations will
~Yes DNo If yes, please identify the charity and the subcontractor below: (Attach a
list jfmore room is needed.)
, ":..J\
I .'
-3
(' '.
\ "}
•
Is registrant's contract with subcontractor flied with the office of the Iowa Attorney General?
~es DNo DAttached
14. Complete a Financiallnformation Disclosure form for each charitable organization for which you
relating to public records, 61 IAC chapter 2.
SIGNATURE
I hereby certity that I am authorized to sign this Registration and that the information provided is
Date--.........L3~\),~5'-+-+ll-'<::>'-D--
State of \=--\0 r \ <i ~

County of ~ ( r) vj uJ A
-,
1U
Signed and sworn to (or affirmed) before me on -'---"-.....;..:._-'--_--'-___ _ __(date) by
__~..-6'<--===---+-_ _ ---"'=_ _ _ _ _ _ (names of person(s) making statement).
-4
[ \', '. ~J~. ---
(Seal)
lMNbt"~
, r' (Publit)Z _Z d
(SigID;ture of '=.
2
__0 I
. ·on expues
My commissl
-5
Center Stage Attractions. Inc.
States Where Registered
Colorado 303-894-2680 New Hampshire 603-271-3591

Office of the Secretary of State Division of Charitable Trusts
1560 Broadway Ste 200 33 Capitol St
Denver CO 80202 Concord NH 03301
Florida 850-410-3707 Pennsylvania 717-783-1720

Division of Consumer Services Bureau of Charitable Organizations
407 S Calhoun St # 218 207 North Office Building
Tallahassee FL 32399 Harrisburg PA 17120
515-281-5926 South Carolina 803-734-2170

Consumer Protection Division Office of the Secretary of State
1300 East Walnut 1205 Pendleton St Ste 525
Des Moines IA 50319 Columbia SC 29201
Illinois 312-814-2595 801-530-6601

Charitable Trusts & Solicitions Div Division of Consumrer Protection
100 W Randolph St., 12th FI 160 East 300 South
Chicago IL 60601 Salt Lake City UT 45804
Kentucky 502-696-5300 Washington 360-753-0863

Office of the Attorney General Charitable Solicitation Division
1024 Capital Center Dr Ste 200 801 Capitol Way South
Frankfort KY 40601 Olympia WA 98504
Maryland 410-974-5534 Wisconsin 608-266-5511

Charitable Division Department of Regulation & Licensing
State House 1400 E Washington Avenue
Annapolis MD 21401 Madison WI 53702
Michigan 517-373-1152
Consumer Protection & Charitable Trust
690 Law Bldg 525 W Ottawa St
Lansing MI 48913
Minnesota 651-296-6172
Charities Division
445 Minnesota St Ste 1200
St Paul MN 55101
515-281-5926
DISCLOSURE FORM
NOTE: TIDS FORM MUST BE COMPLETED FOR EACH CHARITABLE
ORGANIZATION THAT RECEIVES FUNDS SOLICITED IN OR FROM lOWA
Instructions. To help U5 handle your registration:
I. Please download/print this fonn.

3. Return this Corm(s) with copies oC contract(s), if applicable and the ProCessional Commercial
1. Name of Professional Fund-Raiser: t-.Qilir--- S~~ tt~dl(:l f - <::;; ,~

State of Iowa during this registration period. (If more than one charitable organization,
c. Name, title, address and telephone number of the contact person(s) for the
3. Beginning and ending solicitation dates () ( 0' 101 tJrrOUgh~.
4. Is the contract between the professional ftmd-raiser and the charitable organization on file
G No Ifno, attach a copy of the contract to this fonn.
Gelep~ Door-to-door Electronic Media (TV, radio) Direct Mail
6. I~l be contacted by telephone and mail, how will the initial contact be made?
(' 1 elepho~ Mail
""'---
Room 1
7 0 3 - f1C-7d[,7Y
/ C;C;S- cottar e )t A) G- c-:> ~, oK f7i1/

b. All telephone number(s)from which solicitations are made: SD 3 -- 9' 70- 7c!.OY
::::::L\ 'l'V'-o-I\A. ~ G o( V\r\ l-e!

Room 2
c. Name(s) ofmanager(s) and/or supervisor(s) of the room: _ _ _ _ __ _ _ _ _ __
8. Will the solicitation campaign involve the sale of goods or services? Y 0

Page 2 of 5
Other (describe)_----:-----:_.,--_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Yes 6?
1
If ''N 0," describe how the funds will be cOllected._.....tJ...L.....:.'1-----'.fY\--'---"c::A-""--.:::=-\-'----'\'----_ _ _ __
1O. If contributions will be made by mail, identify all addresses to which the mail will be sent.
voS+- ~\CQ. . '60/-
=rho \\ .Q..-=\£. CcA-_Jr"-.s \==~-~~CO ~~
Professional fund-raiser ~table orga~ Both or either
Neither (please explain) ~ .
Yes @
being carried out.
Page 3 of 5
FlNANCIAL INFORMAnON
State the following infonnation and indicate the applicable time period and dates (either the last

(I) Total given to charitable organization $ \ 1\ lo7 \VO

advertising/promotion, etc.:
~ll
amount:
Slo 8'.c.{ ~
7 /0 , '27
Administrative Rules relating to public records, 61 IAC chapter 2.
Note: Any cbanges or additions to the information provided in tbis notice must be reported
immediately.
SIGNATURE:
State of \=\n C\cG ~ )
~ [a ~rJ)
) ss.
County of )
I, -:sQ~"'~, being fIrst duly sWOrn on oath, depose and state that I am a
$
statement made and each answer g;ven is true to my own knowl /
Subscribed and sworn to before me on i') r..: (~.

I 2S /'0 1 C
CHERYL KUPKOVlCH
MY COMMISSION #00645456
EXPIRES: FEB 28, 2011
Bonded through 1st State Insura~
L/1u.. . \ (L"
.-'L.
------ --- ....--
Page 5 of 5
CHARITY SERVICES INC.
P.o. BOX 706 MARION, IA 5230

319-373-1288 888-400-7717
Attorney General Report 201 0:

i
Cedar Rapids /Jaycees $37.625 John Chargo -contact
Jj)namosa Charities $23,622 Dave Oldham
~
encer Jaycees $1 8,825 Sue Staples
/, nkeny Jaycees $29,243 Mike Kossak
/ yteater Betttendorf Foundation $23,281 Cindy Wells
.1oWa Paralyzed Veterans $3788 John Schneider
." / t. Pleasant Music Boosters $20,312- Lois Roth
ashington Just Cause $15,022 Dean Greiner
" j ~irfield Band Aids $17,775 Arvin Bogaards
~
'N rth Libert Jaycees $ 20,120 Dawn Moore
. uscatine Lions Club $1 3,400 Glen Ries
~an Buren Jaycees $7145 Brian Heisel
~owa City Jaycees $$65, 168 Jeff Wagner
ltv1ason City Jay<,:ees $8750 Brad Sconfield
515-281-5926
E-mail:
DISCLOSURE FORM
NOTE: THJS FORM MUST BE COMPLETED FOR EACH CHARITABLE
ORGANIZA TION THAT RECEIVES FUNDS SOLICITED IN OR FROM lOWA
1. Please download/print this form.

3. Return tbis form(s) witb copies of contract(s), if applicable aod tbe Professional Commercial
Fund-raiser Registration Form to tbe Consumer Protection Division (address above).
I. Name of Professional Fund-Raiser: Wg r ;{1 ~ VI' 4.5 --IIr C.

file a separate Financiallnfonnation Disclosure fonn for each.)
A. Name: &at1t651 C.h~ fl·~5

$ ePa tfcd~ de (/t/( /k cf4 /L-t a
~ Ie fff2- ()
)e~ q {f~c~j (ftfeL-

Page I of 5
I1ue> ~hL~ - 3 1'{ 5tU) 3)/8'
Anamosa Charities
SERVING JONES COUN1Y

901 W Liberty St. Anamosa, Iowa 52205
Thank you for supporting Anamosa Chari ties by purchasing

our bags, bulbs, or giving us a donation. It is people like
you that enable us to continue our work within our
community. We wanted to list some of our 2010 projects
below:
Toys for Kids at Christmas - served 400 kids

in Jones County last year III!!
Upkeep of Playground Equipment at

Wapsipinicon Park-
Placed rubber matting under the playground
for safety and tiled the area to keep water
If you want to make life long friendships, enhance business

relationships, better your own community, and have a great time
doing these things, then join ANAMOSA CHARITIES and make a
difference··· .....
Please mail this letter in (0 Dave Oldhall!JIt the address given. Please call Dave
with any questions!
Name
----------------------------------------------------------~---
~ 4- J I
3. Beginning and ending solicitation dates J u~ tm;QWg9 IV DJ ...
4. Is the contract between the professional fund-raiser and the charitable organization on file
~0 No Ifno, attach a copy of the contract to this fonn.

~ Door-to-door Electronic Media (TV , radio) Direct Mail
Telephone Mail
Room 1
a. Addre s of telephone room (Include street, city and state): y 70 .5 (J f1

~ ~
~)3o '
b. All telephone number(s)from which solicitations are made:[ 3 (1)}
JOJ...· Y 3u) ,)
5.) I -: lfoSJ) {eJl- Vtz (J; 5-)/ LIft!
i ;?"
c. Name(s) ofmanager(s) and/or supervisor(s) of the room: :Joe 6 1 (e.
Room 2
a. Address of telephone room (Include street, city and state):_ _ _ _ _ _ _ _ _ __
. b. All telephone number(s)from which solicitations are made: _ _ _ _ _ _ _ _ __
c. Name(s) ofmanager(s) and/or supervisor(s) of the room: _ _ _ _ _ _ _ _ _ __
8. Will the solicitation campaign involve the sale of goods or s e r v i e o
Page 2 of 5
Tickets to an event r other
~er (describ~) q t:{;t r)zq(!

9. Will the professIOnal
H ,'}Z:q'> ,f-- L t~ %fJ£ . ,r) U Iks.
®NO
If"No," describe how the funds will be collected. &C;,(I\llrr= ,
{!rl$..;f\.. dei/iJ(l!-5
,l)Cc)ke-f ani (vi/eels; (J,//!Cll-IO:'
A(f /l7ti 1"1 1() e 5 d/~c if; fv ,9 ~dV/! ' V-£ :S i t S 04 {ofe
z;
Professional fund-raiser ~le Organi~!2ii> Both or either
12. State whether contributions to the charitable organization are tax deductible: . (
Yes No j,ptds 0.,,,,'1,';' 15 "dOA.Jr.,;;' o"(rlt/f/ fk ~/'rJJ!5 :!:.kfo,,/5
being carried out. , \I " f( ,
5eL t; fkc~j ;J~!;'t/('r 1t~q (c 70..) klke ~
Page 3 of 5

any manner on behalf ?fthe chari~ble organization:
J;{ f S- 0-:-~
or-
e.~o
a (( (1/1 Vr4lt' ) U/lCf/~t1~ /-/ v
'1 Ulf la { 1(/£{?~ ,

(1) Total given to charitable organization

${
3 4I
I
'5 cD
~
if S~e Qif6Ckci ;;~~Mr'C( ~s("fo)v({! .sl.e-lf-
amount:
o
Page 4 of 5
Charity Services Inc.
PO Box 706
Marion, Iowa 52302
. (888) 400-7717 ..
(319) 560-0849
Charity Services ·2010 Financial DisciosureSheet :
2010 expenses for all campaigns:
•. Company Grossfor 2010 was$273,974.30

". ' . . .
Groups received $59.65i.30 ·(20 or 25% based on contract)
Payroll expense for telemarketers and staff $87.922 ( Four part time callers
.an·d:myself.) .
Delivery People ('2) '· $45,200
Phone Cost .$3085
Invoices and Delivery M~terials $3550
.'Garbage Bags' $35,200.75 '
.. ~ight ' Bulbs $2822;25 .·
. 2005 KIA, insurances, payroll taxes, credit card, travel expense, miscoffice expense, accountant
. fees, areotherexpenses, jf you need exact figures, let me know.
'''Makhtg Fundraising Easy Since 1990"

. "It's In the Bag" .
immediately.
SIGNATURE:
State of I 6 tJ 0- )
County of
L .an
I
))ss.
-.- -- r"
I, :.J v ~ f:::. Y I '
c;.
, being ftrst duly sworn on oath, depose and state that I am a
Subscribed and sworn to before me on :tr;0] ell..- ;;z ~i dO J/.
'
~.. l,,~! ~co:' ~ ~lV)cJ
i
JANET A. LANCIAL t1
Number 751_ ' VU LV ff·
ow"r March~~S No Public
Page 5 of 5
~
PO Box 706
Marion, Iowa 52302
(888) 400-7717
(319) 560-0849 ,
Charity Services is a small co~pany, we have two delivery people, four telemarketers, and myself.
We do nodkect mail a~d the group we are raising funds for cont~oll00% of the funds collected .The '
, group pays CSI our agreed percentage which is eithe'r 80% or 75% and the groupdeposits all raised
funds. CSI pays all cost ,o fthe campaigns for these groups, they have zero expenses.
. . . '
We do consecutive fundraising campaigns for our clients and every campaign is ran exactly the same
with theexceptio~ of the Iowa Paralyzed Veterans who do not allow us to offer light bulbs. We offer
. various
.
size of tra's. h bags and fo~r packs of florescent light bulbs as thank yougifts to the people
.
we call
and ask for a straight donation if they do not need the product. , '
, .
We deliver to every donor a thank y~u tetter arid 'invoice to all'donors. The letter is included with each
,of these reports. , ' " ,
CSI ~~s been working ~ith these gro~ps for over ten' years and some nearly twentY, all contracts have at
one 'time been sent tothe state and these contracts are good until cancelled by either party.
, ,
We know our donorS and time our campaigns to keep them supplied with bags, therefore we call some
towns every si)( months some every five and so~e just once per year.
My callers average around SlOper hour and rriy drive~s earn lesst~an $25,000 per year and that
, includes their gas and car maintenance.
n
, , ' 0 "
:z
, Please look at the' enclosed financial disclosure sheet that follows. <n
c
r..,
:t:
:x
:;PO'

...-\.J,
~,
~,
::0 P1
5..-22:--(( .. '"U N
""
~
..,'
:::c W
, , ,
0 , fTl
Joe Eagle - Charity Services Inc. ...., :x
--l ~,
<::
(") rr,
--l
0
z '
'\D'
' .. 0
N
c
~
.
''MakirigFundraising Easy Sincei990"

" ""It's In tbeBag"
515-281-5926
E-mail:
DISCLOSURE FORM
ORGANIZATION THAT RECEIVES FUNDS SOLICITED IN OR FROM lOW A

3. Return tbis form(s) witb copies of contract(s), if applicable and tbe Professional Commercial
1. Name of Professional Fund-Raiser: Wg(' ;17 ~ vI' CIS --:lfi c.

A. Name: WCi./l... ~cif'D) ~Y"L(?j

Page 1 of 5
4ntGf S {c.hL ~ 1)I€'sl ;a,ct
-r C u /l+~~f
Cedar ~pids Jaycees
Information: @ 364-8025
p.O. Box 11726 Cedar Rapids, lA 52410
Thank you for purchasing our trash liners or for making a donation.
We have been conducting a trash liner fund raiser in the community
for over twelve years and we would like to express our gratitude for
your help. It is people like you that enable us to continue to serve the
Cedar Rapids and now the Marion area as well.
We have listed below our current projects:
Run, Punt, and Pass and Super Shooters

Youth Sporting Events
New Jaycee House Fund Raiser
Christmas Toy Shop
Canned Goods to Area Food Pantries
Due to the fact the Jaycee house was taken by the flood, we are still debating what we are
going to do as far as a new Jaycee house location. Thank you for your support.
If you would like to join the Cedar Rapids Jaycees, please call Amy Slater at the number
above or send this letter to the address given.
Nrune~====~~==== __~____~________=-~__________~______==__~_______
Address Phone_ _ _ _ _ _ _ _ _ __
3. Beginning and ending solicitation dates ~~~h
i !iJ(O.
@NO Ifno, attach a copy of the contract to this fonn.
S. Soliciting will be conducted by (Check one or more that apply):
~ Door-to-door Electronic Media (TV, radio) Direct Mail
Telephone Mail
Room 1
f1
-.
Y 70 ..5 (,)
S)3o
b. All telephone number(s)from which solicitations are made:Q (1)r Jo~· y 30 ~ ,)
5J 1-;- CfOSJ) £JI- t/&;(J, S-JI i 4f1! ;;;;;=
c. Name(s) ofmanager(s) and/or supervisor(s) of the room: :Jue.. £5 1 (e

Room 2
8. Will the solicitation campaign involve the sale of goods or services? CY;> No
Page 2 of 5
Tickets to an event
9.
@)No
If "No," describe how the funds will be collected. ii/tvI'"&=- lefs..)(\. dr(/(/(f-S
/)co)vc-4-- ct-rc/ (G>IIr7,f~ lk//1C(f/o:'
f
o.
Ier
. , v . '\,.1 - .
f:io. jO/lI.,(~ 16 $ f f ttl q~S I- Iv 0-s I

(? / ~ d oil flo /I
Of 1/\ T""
( c; litr- f/..u" Ar;t/14 e c; v(n 't//r '7 (/ ri ~re c-/ /a/~$!' I
o
Professional fund-raiser ~le Organi~ Both or either
Yes No I,pe..).> ov"\..,'I,') /5 4cioA.,Jr.J4 o"lrltl'd fit ~1'c.A-l5 ~kfv5
being carried out.. " . \t • t (
Se <L c; t-fz, c~ j ;jE'I;'t/(,;0 71-t:'/j (c 70J ~ liPe ~
Page 3 of 5

Jf c1t~/~ . ~
([( ( 7!rlver fe dC)(Iq: it 6' q,3 f/o--f'l
CZ L/I (1, ( t~!(C.
(1) Total given to charitable organization $- LtJg r . l~

If 5~e q 116 eke! ;;~t;Mr'C ( tfr s("fosvr(! S f.eJf .
amount:
Page 4 of 5
. .
Charity 'Se~ces Inc.

. . . . .
PO Box 706
Marion, Iowa 52302
(888) 400-7717 .
(319) 560-0849
Charity Services 2010 Financial Disclosure Sheet:
. 2010 expenses for all campaigns:
Company Gross for 2010 was $273,97430
.. Groups
.
received
- , .
· $59;65i30. (20 or 25% based on contract)
.
p~yroil expense for telemarketer~ and staff · $?7.922 ( Four part time callers
and myself.)
Delivery pe~ple(2) . $45,200 .'
Phone Cost .. $3085
hwoicesand Deli~eryMaterials " . $3550
Garbage Bags'. $35,200~ 75
· ~ightBulbs . $2822'. 25
2005 KIA, insurances, payroll taxes, credit card; travel expense, misc office expense, accountant
··fees, areotherexpenses,
....
if you need exact
' .
figures, let me know. . .
.
.
'''Making Fundraising Easy Since 1990"

"It's In tbeBag"
immediately.
SIGNATURE:
State of -rtJlJc",- )
County of LI af} ) ss.

)
I, -~bE
7
~ ,being first duly sworn on oath, depose and state that I am a
Organization Financial Disclosure Fonn; that I know the contents thereof; and that each

')
Subscribed and sworn to before me on '1rJIlJ eI! d ~ dtJjl .
/J arvf /J. ~
<-//1 r>. 1 j}
N'ortry Public c71 l-<A I L. -i f
i
,
•
JANET A. LANCIAL
J CommisaIon Number 75t.
• MY COMMISSION EXPIRES
MIIrctl27. 2011
'
Page 5 of 5
,Charity Services Inc.
PO Box 706
Marion, Iowa 52302
(888) 400-7717
(319) 560-0849
Charity Services is a small company, we have two delivery people, four telemarketers, and myself.
We do no direct mail and the group we are raising funds for control 100% of the funds collected . The
group pays CSI our agreed percentage which is either 80% 005% and the group deposits all raised
funds. CSI pays all cost.of the campaigns for these groups, they have zero expenses.
We do consecutive fundraising campaigns for our clients and every campaign is ran exactly t~ same
"with the exception of the Iowa Paralyzed Veterans who do not allow us to offer light bulbs. We offer
various size of trash bags and four packs of florescent light bulbs as thank you gifts to the people we call
, '
and ask for a straight donation if they do not n'eed the product .
. .. " . ' ., " ' . ' , . '. .. ", .
We deliver to every donor a thank you letter and invoice to all donors. The letter is included with each
of these reports.
CSI
.
has
. ...
been' working
.
with
.. ! . .
these
",' .
ps for - over. ten .ye~rs~md
grou' ~ " .
some nearly. twentY, ail . contracts
~ .
have at '
one time been sent to the state and these contracts are good until cancelled by either party.
We kn6~ our donors 'and time our campaigns to keep them supplied with bags, therefore we call soine
towns every six months some every five and s6~e just once per year. , g-.
, " :. , , ' :z:

, , ' " :, ,',' (/) ::we
My caiiers average around $10 per hour and my drivers earn less than $25,000 per year' an~at~ :::::0
,[11
includes their gas and car maintenance. ' ,~ , N c-:.
. , " ,', , ' , ', ' , ' ~ w fT1
please look at the enclosed financial disclosure sheet that follows. ;:;: ~ -<
P,
: ' ~S-/ ~ o
"
/~
, , ' '
'5,-22'-:'t( : ~ ' .~
~ ~
Joe Eagle':'" Charity Services Inc '!C
"Making Fundraising Easy Since 1990"

"It's In the~' '
515-281-5926
E-mail:
DISCLOSURE FORM

Identify the charitable organization for which you will be soliciting money within the
A. Name: ;kIf /"e G D£i.1.D A;o~;>

5e I: 91i~J. J'/07;£ tei1c£

S:ze tj' £~id /~tlruc

Page I of 5
FAlRFII3LD BANDAHJES
900 Grand Park Dr. Fairfield IA 52556

For infonnation - LeArme Edgeton 919-3344
Thank you for supporting the Fairfield Band Aids by purchasing our bags, bulbs, or for
your donation.. The Band Aids are dedicated to keeping the quality of the hand programs
in the Fairfield schools at the highest level possible and provide an extra-curricular
activity that can be a stepping stone to higher education and a productive way for our kids
to entertain others and express themselves.
We have listed below some of our past and present projects.
Instrument Repair, Loan Program, and Purchasing of New Instruments
Band Trailer Maintenance
Band and Choir Trips, the Drumming Clinic, The Middle School Concert, and Masters
Classes at both the Middle School and High School.
New Timpani Sets for the Middle and High Schools
Summer Band Camp
Ifyou would like to continue to help make a difference in the instrumental music
education ofour children, become a member today. Send a $10 annual family
membership fee to the address above with this letter. THANK YOU!!!!
Name Phone ______________________

----------------------------
3. Beginning and ending solicitation dates
.@ No If no, attach a copy of the contract to this fonn.
Telephone Mail
Room 1
a. Ad;;t::ft:lepho~m (lnclu~e street. city and state):

y 7a -.5 (J- f1
M(c/l'1 I
i:LA .)) 3dol
b. All telephone number(s)from which solicitations are made:[3 (1)} J.o~· <I 3o?:> ?
5d/~toSJ) 9 1 -</(gtJ, 5-)1, lift! ;:::?"
c. Name(s) ofmanager(s) and/or supervisor(s) of the room: :Joe. 6 1 f('
Room 2
8. Will the solicitation campaign involve the sale of goods or serviceG No
Page 2 of 5
)0 ~qJ'# ~/:, rI- t '2:41 6ul
9.
(§)No
If "No," describe how the funds will be collected. 1.:>1/1/ frr- IPitS..;(\.. de(/lJ(es
.?Cc?hcf CtnJ (~/kcl~ a(,//lc<f(o~(
r
he tI.o Joap;s .16.* f refu;,s.(. Iv - /Yl4,' / ~ dOllqfiO,/i I~ ~

("litr- ~I\ Aall/A.cg 4r/{)/r 7'0 fo ~Se' c-/ ~/USf,
o
Professional fund-raiser ~ Organi~> Both or either
12. State whether contributions to the charitable organization are tax deductible: . I
Yes No j,~s 0.,,,-,-1,.) /5 4dC1t'l.I(.;~ OI1(rif'A/ fk ~/,,;)Jf5 ~kfJ5
being carried out. \I I
5e ~ t; fk c/wJ I()el/t/( 'if tl-I'/7 (c 7w (f ((pe ..
Page 3 of 5
a. Total amount of money collected by the professional commercial fund -raiser in

-:i( tt( ye? (2
q It I
Wli/&fe ~/l?·-(o~ r iv~ y.e/Vr'~ (
~'c
/

if
(l) Total given to charitable organization 3,7 C; 3 , ~2

If S~e q!l6ckcl ;;~t;M/C( .p/,sc(;y& .s. l.eJf-
amount:
Page 4 of 5
.Charity Services Inc. .'
PO Box 706
Marion, Iowa 52302
. (888) 400-7717
(319) 560-0849
Charity Services ' 2010 Financial Disciosure 'Sheet :

. '" ..
. 2010 expenses for all campaigns: .
•. c~mpany Gross for 2010 was $273,974.30 ..
Groups received $59.651.30 '(20 or 25% based on contract)
'. Payroll e~pensefor telemarketer~ and st~ff : . '. $~7.922 ( Four part time callers
and myself.) .
Delivery People (2) ... . $45,200 .
. Phone Cost '. $3()85 '

,
Invoicesand
,
. .
Delivery Materials .' .
$3550
. Garbage Bags'· $35,200~75 .
'lightBulbs $2822.25
2005 ~IA,insurances, payroUtaxes, credit card; travel expense, miscoffice expense, accountant
fee~, are,other' exp~nses, if you needexactfigures, let me know. .' ,'. .
'"Making Fiutdraising Easy Since 1990"

"It's In the Bag" . . .
Iowa public records law, Iowa Code chapter 22, and the Iowa Attorney General' s
immediately.
SIGNATURE:
State of TOGJtV )
) ss.
County of L f "rJ I) )
I, ~~ 6 r r,
(
being first duly sworn on oath, depose and state that I am a
£g;;
7
Subscribed and sworn to before me on 1r) /2!leA dJ. :2011
c;J,flMi: J} KtlIleJ
i~
JANET A. LANCIAt. :ary Public
~ Number 751.
MY COMMIsSION EXPIRES
M11a127. 2011
Page 5 of 5
Chmity Services Inc.
PO Box 706
. Marion, Iowa 52302
(888) 400-7717
. (319) 560-0849
. Charity Services is a small company, we have two delivery people, four telemarketers. and myself.
We do no direct mail and the group we are raising funds for control 100% otthe funds collected . The
· group pays CSI our agreed percentage which is either 80% or 75% and the group deposits all raised
· funds; CSI pay~ all cost .ofthe campaigns for these groups, they have zero expenses.
We doconseclltivefundraising campaigns for our clients and every campaign is ran exactly the same
., with theexception otthe Iowa Paralyzed Veterans who do not allow us to offer light bulbs. We offer
various size.of trash bags a~d fo~r packs offlorescent light bulbs as thank you giftsto the people we call
and ask for a straight donation if they donot need the product . . .
We deiiver to every donor athanky~uletter arid invoice to an"donors. The lett~r is included with each
of these reports.
CSI has been working with these grou'ps for over ten ye~rs"and some nearly twentY, all contr~cts have at •.
one 'ti.:neb~en sent t~ ~he state and these ~ontracts are good until cancelled by either party. .
We know our donors andtime ollr campaigns to keep themsupplh~dwith bags, therefore we call soine
,towns every six months some everyfrve and sci"~ejustonce per year . .
My callers average around $10 per hour andmydrivers earn less th~n $i5,OOO per year and that ·
includes their gas "and car maintenance. " ' ' < . . . ', .
. ~ . " , . . . .
· Please"look at the ~'nclcisedfjnancial disClosure sheet·that follows.

/~ . ·5'--22:-: I (
t") " .
.. ... ~.
(!)
Joe Eagle - "CharityServices Inc: , , ~~ .:t

rtl::0 . ~
::0 "
-u"-> .C". .
,o
: :0. W _/I:
;:;:: ho- ~
n
-f
~
\.0
rr.
--.;
(5 " '-.J
2: I'\:) "
~ . c.n
:< . ,
. " . . .. ..
''Making Fundraising Easy Since ·1990"

" . "It's In the Bag" .
• I.., •.
515-281-5926
E-mail:
DISCLOSURE FORM
ORGANIZATION THAT RECEIVES FUNDS SOLICITED IN OR FROM IOWA

1. Name of Professional Fund-Raiser: Cbq(' ;17 ~V/'~s 1A c,

Tk.
A.
&r~< ~ff
Name:f?34~ e. 16:
file a s;parate. Financial Information Disclosure form for each.)
~ / .
~d{)q"'-IO/l.
Sl~ -f qtf~L;; Q f/'~t/P (e&te. tL.

v
See of/c..c-tjj/'oJ(J (e/f£

Page 1 of 5
The Greater Bettendorf
Community Foundation
PO Box 425 Bettendorf Iowa 52772

Info Line: 355-0475 - Cindy Wells
Thank you for supporting The Greater Bettendorf Community

Foundation. It's people like you that enable us to continue our
work here in our community. We have listed some of our present
projects below:
Projects and Donations
Annual Easter Egg Hunt/ ¢h Of July Parade/
Halloween Parade/
Food and Gifts to Needy Families at Holiday Time
If you are interested in making lifelong friendships, helping your

community, and strengthening your leaderShip and management skills, If you
want to build more self confidence or build better business relationships
within the community then please join us and become a member of the
Greater Bettendorf Community Foundation ... ..........
NAME PHONE.______________
PLEASE MAIL THIS LETTER TO THE ADDRESS ABOVE AND WE WIll CAll YOU WITH THE NEXT
MEETING TIME' THANKS FOR YOUR SUPPORT!
The 2011 Easter Egg Hunt will be held at Crow Creek Park on
April 16th ••.•.• •.•••••• Thank you for your support III
C4t1
3. Beginning and ending solicitation dates , - 1C> t:kI:ough (Z - (0
~- 10 ",11<.:>
'@ No If no, attach a copy of the contract to this form.
Telephone Mail
Room 1
f1
-.--
<J 70 ..s (J..
S-) 3d
b. All telephone number(s)from which solicitations are made:Q (1) Jo~· y 3v ':>
r ,/
5J 1-; L(oSJ) idl- tjtv(J, 5-,)1, 4ft! ,:=?"
c. Name(s) ofmanager(s) and/or supervisor(s) of the room: :Jue.. 6:; (e-

Room 2
8. Will the solicitation campaign involve the sale of goods or services? B No
Page 2 of 5
Tickets to an event
9.
® No
If "No," describe how the funds will be collected. ,
tlt'v l '8=" /Jets..)(\. de/;'lJ(es
/}(c)rhof Ct"J (c>lle,/~ t/('//1C{f,o'.t
please state: (I) whether the address is that of a post office box, commercial mail service,
-:&. c f1.o v fit

drut.>fSfi f refug~sl-
J (f . '-
1-0 04,· / 'I-ive. dV/lcr00/f 1/\ •
r
(c;litf' &" )(;(///(1 q vlr/J/r C;v -6 ~se 0/ fa/~Sf &

{. (
II. State which of the following has the authority to withdraw the funds from any banking
12. State whether contributions to the charitable organization are tax deductible: I
Yes No j,ptJs N\.. / 'I,~ ,'s . . d4t.J(,J~ o"(r t!{A/ fif f!rr~45 ~ kfv 5
being carried out. \I t
5e~ C; fkc~j /}!;~,rO 7h~.'l (C 7ev ( k!iPe ~
Page 3 of 5

.J cl:l OJ-7
{If f~/l.{?(~( /.:.d/1c a&t'7a+I/}~ f + :J<c-4~!, ~·<!f>,c... ;;,1.1 £vl!,

>q{~r
c. Itemize how the professional commercial fund-raiser expended the funds :

-«0
(1) Total given to charitable organization ~q-'i05:" 'f..
» .,
advertising/promotion, etc. :
~ S~e q!lti Ckcl ;;~~,u/c( cJ,s{"~~((? S/'ljr--
amount
o
Page 4 of 5
.. Charity Services Inc.
PO Box 706
Marion, Iowa 52302
(888) 400-7717
(319) 560-0849
2010expenses for all campaigns:
.
: . ' .
. Company Gross for 2010 was $273,974.30 .

.: . . .
Groups received $59.651.30 ' (20 or25% based on contract)
Payroll"expensefor telemarketer~ and staff · '$87.922 ( Four part time callers

and myself.) ..
Delivery People (2) . $45,200
Phone Cost $3085
Invoices and Delivery Matedals '. $3550
. . GarbageBags $35,200.75"
'. . Light'Bulbs$2822;25 .
. 2005 KIA, insurances, payroll taxes, credit card, travel expense, misc office expense, accountant
fees, are other expenses, if you need exact fig~rE!s, let me know. '
'''Making FundnUsing Easy Since 1990"

"It's In ~e Bag"
immediately.
SIGNATURE:
State of To lJ () )
. ) ss.
County of 1- If) '7 )
I, Soe b r~ ,being fITst duly sworn on oath, depose and state that I am a
slatement made and each answer given is true to ~
Subscribed and sworn to before me on 1t}tnill d J.., c2J//
(J.()/lfff A'iO/JC J2
ary Public
'i-.
•
JANET A. LANCIAL
J Commilalon Number 751.
MY COMMISSION EXPIRES
. MaICt127. 2011
Page 5 of 5
,Charity Services Inc.
PO Box 706
Marion, Iowa 52302
(888) 400-7717
, (319) 560-0849
We do no direct mail and the group we are raising funds for control 100% of the funds collected . The
, group pays CSI our agreed percentage which is either 80% or 75% and the group deposits all raised
funds; CSI pays all cost ofthe campaigns for these groups, they have zero expenses.
We do consecutive fundraising campaigns for our clients and every campaign ,is ran exactly the' same
, with the exception of ,t he Iowa Paralyzed Veterans who do not allow us to offer light bulbs . We offer
', and ask for a straight donation if they do not need the product. ' ,
, ,
, We deliver to every donor athank y~u letter and invoice to all dono~s. The letter is included with each
of these reports.
, . " .
CSI hasbeen' working ~itti these grou'p sfor over ten years and some nearlytwentY, all contracts have at "
onetime been sent to the state and these contracts are good until cancelled by either party.
, ,
We know our donors and time our campaigns to keep them supplied with bags; therefore we call some
,towns every six months some every fNe and some just once per year. ~.,
o
" z
My caHers average around $10 per hour and my drivers earn less than $25,000 per year and ~at ~
,' ; , ', ' " ,- " ' :r ' ;bo , ;0,
, includes
- ,
their gas and car maintenance. "" , , ' ,
' , fTI
' :;;0
:;;0
M
~ N G
, please look at the enclosed financial disClosure sheet that f~lIows..
:;0
o
W
m
~ :n
:x .. -.
cr ' '
', /~
o /Ii
" -1
5~22--( ( o \.0 o
:z N
o .z:
- Joe Eagle - Charity Services lric. -:c:.

~
., "It's In tileBag''' •
515-281-5926
E-mail:
DISCLOSURE FORM

3. Return tbis form(s) witb copies of contract(s), if applicable and the Professional Commercial
1. Name of Professional Fund-RBiser: Wq(' ;+7 ~ v1 '4}> --IIz C.

A. Name:Lwt( CI ty r:t (pf?.5
S{'( qffc, tll!J if' !It''C ;; UA J / u JjJ
S{< 'iHc;dJ') Cr eJ(? (RffeL

Page 1 of 5
COA /c;cl
---r (Jf e'<) liJert.-f
IOWq City\Corqlville )qycees
PO Box 371, Iowa City, IA 52244 For information contact:

Iowa City/Coralville Jaycees 541-0663
y" :S
Thank you Fm purchasing our trash liners, bulbs or For your donation. We·have been conducting a trash liner Fund ra iser For
over 15 years now and would like to express our gratitude For your help. It is people like you that enable us to continue our work
here in our community. We have listed below some of our current projects
Current Prolects
The mission of the Iowa City/Coralville Jaycees is to provide young peoplethe opportunity to develop personal and leldership
skills through local community service and organiZiltional involvement while expanding the Junior Chamber movement.
Examples of current and past projects :
Hershey's Track 8{ Field - we assist with the timing and recordkeeping For events at this local qualifier at City High's Bates
Field . In addition, For the last couple of yelr'S we have run a concession stand and have donated all of the proceeds From
the concession stand to a local charity or non-proFit organiZiltion.
Children's Holid<lY P<!rty <It the VIHC - in mder to lighten the spirits of the children who are not able to be home For the
holidays, we have been putting on our own special party For the kids at the University of Iowa Hospit'll <lnd Clinics. We
bring activities, presents and even a special guest to take the kids minds 0((of being away From Friends and filmily over the
holidays.
Fourth of July Fireworks - After nearly 60 ye<lrs the Jaycees won't be solely sponsoring the fireworks show . The group
continued monetary support in 09 <lnd 2010.
P<lthways Mult Hellth Center - $5000 Donation to the Center in 2010
New For this year is the Field of Scteqms: This October we are putting on a Haunted Corn M<lze at Century F<lrm Harvest Heat.
2968 Black Di<lmond R.oqd SW, Four miles south oFHighwqy 218. Come out <lnd en!oy a good scare at the Haunted Corn M<lze.
R.eI<lY For UFe, Dragon Bo;rt R.<!ces, <lnd Donations to Vptown Bills are <llso new projects For 2010 <IS well.
IF you are twenty one - Forty years of age and wqnt to make lifelong Friendships, improve your community, strengthen business
ties, and h<lve an excellent time doing it, if you enjoy seeing people benefit Fro m you and your Friends h<lrd work <lnd helping
those in need th<ln you need to fill out the inFo <It the bottom <lnd mail it to the <lddress at the top of this letter and you can join
the IOWACITY\COR.ALVI LLE JAYCEES!!!
NAME__ ~ _______________________________________
ADDRESS_______________________________________
3. Beginning and ending solicitation dates -,,-=-d.~
'J , ~.__
/0 ~~ t-D?!
9" L..l~
@ NO Ifno, attach a copy of the contract to this form.
Telephone Mail
from which calls will be made. (lfmore than two locations, continue on a separate sheet):
Room 1
a. Ad?, of~lepho~om (Inclu~e 'tree~ city and ,tate):

L!.L4E{O/f ; U .)J-3ool
b. All telephone n~ber(S)from which solicitations are made:Q (1) d Od-.. - Y 3u ~/
5J 1-: 'foSJ) SJI- V(t} {J, S-JI , 4ft! c-::?
c. Name(s) ofmanager(s) and/or supervisor(s) of the room: :Jue.. E:J (e

Room 2
b. All telephone number(s)from which solicitations are made: _ _ _ _ _ _ _ _ __
\
8. Will the solicitation campaign involve the sale ofgoods or services Yes 'I No
)
Page 2 of 5
Tickets to an event
9.
® No
If "No," describe how the funds will be cOllected. . . . .lod~ . . ;!t. :. /. . ;.(j_f~'!=fI- Jl :-e~/. .:s~. >.;. (\. - Iod'-l.l-f:. :./;.;.'(E.;..;S:..-_
V,~
,f}cqjuof- Ctn) Coll(7v/~ ()cJ/1Cclto:'
~ (( ;n4 1/ J () ~5 cftf'fC if! b (j~dvf! , tf/V:s It s Of {ore
o (
Professional fund-raiser ~gani~ Both or either
12. State whether contributions to the charitable organization are tax deductible: (
I j .II 1'5 J:. krvS
Yes No JI~.S' w'/~J ,.j. /5, 4.0Cj{.Jf.J~ o " Lr~A rJ-t' ;J /'r)J
being carried out. ~ , \\ (( ,
Se~ c;/kciu>j ~I/V{'d ~C/lt7w /eiIPe..
Page 3 of 5

Jt S3 89" I
q' {! frt 'lJC( j-~ do/}; -00/\ 5 VU/l ~e~~r<:: ! lvitc
(1) Total given to charitable organization Jf I~ , L[ 7 3 .So

amount:
Page 4 of 5
Charity Senices Inc.
PO Box 706
Marion,lowa 52302
(888) 400-7717
(319) 560-0849
2010 expenses for all campaigns:
Company Gross for 2010 was $273,974.30
Groups received $59.651.30 (20 or 25% based on contract)
Payroll expense for telemarketers and staff $87.922 ( Four part time callers
and myself.)
Delivery People (2)
Phone Cost $3085
Invoices and Delivery Materials
Garbage Bags $35,200.75
Light Bulbs $2822.25
2005 KIA, insurances, payroll taxes, credit card, travel expense, misc office expense, accountant
fees, are other expenses, if you need exact figures, let me know.
"Making Fw)(lraising Easy Since 1990"

"It's In the Bag"
immediately.
SIGNATURE:
State of .:;:dtJ tA- )

)ss.
L
County of----<:::;'"'"""
r' ()~4~ _ _-)
I, ~e E~L r..e , being fIrst duly sworn on oath, depose and state that I am a
Subscribed and sworn to before me on 1Yj{NeA dd, dol/
Page 5 of 5
Charity Servi~s Inc.
PO Box 706
Marion. Iowa 52302
(888) 400-7717
(319)560-0849
We do no direct mail and the group we are raising funds for control 100% of the funds collected. The
group pays CSI our agreed percentage which is either 80% or 75% and the group deposits all raised
funds. CSI pays all cost of the campaigns for these groups, they have zero expenses.
We do consecutive fund raising campaigns for our clients and every campaign is ran exactly the same
with the exception of the Iowa Paralyzed Veterans who do not allow us to offer light bulbs . We offer
and ask for a straight donation if they do not need the product.
of these reports.
CSI has been working with these groups for over ten years and some nearly twenty, all contracts have at
We know our donors and time our campaigns to keep them supplied with bags, therefore we call some
towns every six months some every five and some just once per year.
. on _.
My callers average around $10 per hour and my drivers earn less than $25,000 per year and 6 t
includes their gas and car maintenance. ~ ~
!;J :::0
~ N
Please look at the enclosed financial disclosure sheet that follows. ;g W
-I
~ ~
3..-22~ I (
Joe Eagle - Charity Services Inc.

"It's In the Bag"
515-281-5926
E-mail:
DISCLOSURE FORM

I. Name ofProfessioDAl Fund-Raiser: Wli. r ;/7 ~t VI' ~s -2A C.

A. Name: ~4 j{fCi(Y2L9 ~(Pf~/lJ cJ/~/(c(

S.pe ~If~clle-If~_ -P~_~

tl',roz/;?
v
3~~ ~!lJ:/ (r?-I'~z~
Page I of 5
Iowa Paralyzed
Veterans ofAmerica
3703112 Douglas Ave. Des Moines, Iowa 52401

1-515-277-4782
JO~ C;C(/Ler &e --- CP14-< v-f-

- -------
THANK YOU for your donation or for

purchasing our trash bags. The IPVA serves
veterans of all wars including the Iraq war. The
IPVA is conducting their 2010 trash bag and
donation fundraiser as funds are desperately
needed order to fund for projects like the wheel
chair, and artificial limb locater service, and
securing a service officer who makes sure the
men in our veteran hospitals get everything they
need. These men serve their country and deserve
all benefits they are entitled to receive! !!
THANK YOU FOR YOUR HELP !!!!!!!!!!
3. Beginning and ending solicitation dates t..:. I () through I), - to .

------..
~ No If no, attach a copy of the contract to this fonn.
Telephone Mail
Room 1
a. Addre s of telephone room (Include street, city and state): y 70 S (J f1

----- -
~)3o
b. All telephone n~ber(S)from which solicitations are made:Q (9) Jo~- y '3v:s ,/
}
5JI-;t oSJ) {JI-t/tu(J; 5-J/,4f t ! ;:;:;==-
c. Name(s) ofmanager(s) and/or supervisor(s) of the room:, :Joe. 6 1 (t'
Room 2
8. Will the solicitation campaign involve the sale of goods or services~ No
Page 2 of 5
Tickets to an event
9.
@No
If "No," describe bow the funds will be collected. ttl/vIr&=- ,/hIS..>(\. deir'(J(es
Jut!
,Qr()~c..'t" c<r.c/ (vliet(. f ~ bC//'ICt.llo1'
/"
i
AIf (l7ti 1/ fJ 5 vlt~c f{t f-v /1~cv~ viu:s ItS, o~ {afe

tJ e'
fer tfo J{)4";S t6%f ret{,l;'s!- 10 - 04," Y-Jve.. dCI/1Qto/i /,A;

(Ci iftf' ~" At;t/II! ~ vir , '(j/r )2 v -6 4.,1s~ fa/~$.[ , c-f
o
11 . State which of the following has the authority to withdraw the funds from any banking
fk P5 ~ fT-(fvS
Yes No
'. • J
IlptAVs O'~"'" I
."
,~/5
I '
4.
I · '
tJ.Oy[.,lr.;<r 01'\ r.,/I /
( Q/\)J
-J'
being carried out. \{ t
SefL. C; tfz,c~j ~I;'v-('.ro M$/l(c 70J ( fll?£:"
Page 3 of 5

JJ:' 0 tiS? 3J
£(( f'rl Vcr..!e A.7~llv:" r -Cv.d' SP~ I'a ( fJd/c:
(I) Total given to charitable organization

:t ;>cr
. oZ I 'l{
;
If S~e qif6 eke! ·;;~tT;l.C r'c ( vir 5(r;~((! .s' I.e~f ~
amount:
o
Page 4 of 5
..Charity Services Inc.
PO Box 706
Marion, Iowa 52302
(888) 400-7717 '.
(319) 560-0849
Charity ServiCes 2010 Financial Disclosure Sheet:

. .
2010 expenses for all campaigns: .
. Company Gross for 2010 was$273,974 730,
Groups received
.
$59.651.30- (20or 25% based
. . .
on contract)
, . .
'
.
. Payroll expense fortelemarketer~ and staff ' $87.922 ( Four part time callers
.and myself.) .
Delivery People (2) ". $45,200 .
.'. Phone Co~t .$3085
Invoices and Delivery M~terials ' .'. $3550 , .'
GarbageBags , $35,200.75 '

. . . .
Light 'Bulbs $2822.25
. ' 200SKIA, insurances, payroll taxes, credit card, travel ~xpense; miscoffice expense, accountant
'~" fees, are other expenses, ~f y()U need exact figures, let me know. ' .
" 'M~IT!_~ Fundrai.s·

, atUlaemg EasY Since1990"
. ' ..
"It's In the Bag" .
Note: All infonnation and docwnentation provided as part of this registration, including this
Note: Any cbanges or additions to the information provided in this notice must be reported
immediately.
SIGNATURE:
State of To iJ 0..- )
) ss.
County of L nO
I )
1,.~ 6,~ , being fIrst duly sworn on oath, depose and state that I am a
Subscribed and sworn to before me on1r)aa eh d~ dO II
/l Xal)C~
NOa~
!
'i
o
r
,.
~
JANET A. LA~ , .
Commission Numb,
MY COMMISSION, .
. ~'Z7.20
Page 5 of 5
Ch~ty Services Inc.
PO Box 706
Marion, Iowa 52302
(888) 400-7717
(319) 560-0849
" '
We do no direct mail and the group we are raising funds for control 100% of the funds collected. The
funds. CSI pays all cost ofthe campaigns for these groups, they have zero expenses.
We do consecutive fundraising campaigns for ourclientsand every campaign is ran exactly the same
various size of trash bags and four packs of florescent light bulbs as thank yougiftsto the people we call
and ask for a straight donation if they do notneedthe product.
ohhese reports.
CSI has been working with these groups for over ten years and some nearly twentY, all contracts have at
" ' .
, towns everY six months some every five and some just once per year. g
z , __
, '-,' e
(n'
~
My callers average around $10 per hour and my drivers earn less than $25,000 per year anditat~ _fg
,includes their gas and car maintenance. ,_~ N 'c-:.
,"
"
, ' " -
,
~,c...> JIl
financi~1 disclosure sheetthat follows.
-< >
please look at the enclosed ,.."
n ::x -<
--; IT!
/~
\.0 C;
0'
3---22:-- t( 9
Z N
.r
:<
Joe Eagle":" Charity Seniices Inc.

, . - "Ifs In the Bag"
515-281-5926
E-mail:
DISCLOSURE FORM

1. Name of Professional Fund-Raiser: a~d ;17 ~('U/'qs --LIt c,

A. Name:~Se)1{
~A.
G .---
It. ~cut C-Q e .5
5~ fl q·t!uGi:se! !~iler- -r Ivv-'1 q/b~JJ ~

(j
S;-e crtl~dJ I{!I~!/td- q /b;..JyJ

J
Page I of 5
Mason City Jaycees
P. O. Box 526 Mason City, IA 50402-0526

Info line: Juli e Bauer @ 641-420-6189
Thank you for purchasing our trash bags, hght bulbs, or for your
donation. It is people like you that enable us to continue our work here
in our community. The bags are made of factory direct recycled poly and th ey
are of excellent quahty and the bulbs are eco-friendly and long la s ting.
file have listed some of our projects and programs below:
Conununi ty Programs
Earth Day Cleanup

Meals on Wheels
Evans Preser ve Park Upgrade
Mason City Youth Sports Sponsor
/(i d Care 1. D. Adopt a Highway
Sandbox Fill
Name__________________________________ ~
$._-
Address____________________________ ~ ______ ~~ ________
3. Beginning and ending solicitation dates ~jJf)__ ~ --f/1n.
@ No If no, attach a copy of the contract to this fOnD.
~ Door-to-door Electronic Media (TV , radio) Direct Mail
6. Ifpersons will be contacted by telephone and mail, how will the initial contact be made?
Telephone Mail
Room 1
a. AJ~ft:lepho~.;:~om (lnCh~e street, city and state): <170 S (J- f1

AE{(.J11 ,i:LA .)) 3dol
b. All telephone number(s)from which solicitations are made:[3 f'1) Jo~· y 3u ~ ,/
;
5JI-;ifoSJ) £r:JI-Vlz(J, S-J/, Lift! .... __

c. Name(s) ofmanager(s) and/or supervisor(s) of the room: .:1ue. 6 1 (t:
Room 2
8. Will the solicitation campaign involve the sale of goods or services? ~ No
Page 2 of 5
Tickets to an event
Other (describe) "'1 '< (?':Z~ H<'1 \ ~ W( v (I{ Jl/ Y :::;, ,/
9. Will the professional _ . <Y . "
@No
If"No," describe how the funds will be collected. j.Pl/v1t"&= fe(s.J!'- delr"(/(es
I
/[r}c.iuof Ct~J (c/II(1?f~ a(,//1Clf/()~'
please state: (l) whether the address is that of a post office box, commercial mail service,
tic f:/q, J04";S --t6.~ f retu;,sl- Iv - /"fLs,-1 ~ d CJllqf/o/1 ,:/1. ~

(c.~r- ~" J..t;t/i/1~ q~t,'V/r z~ Iv 4jr~ M b/usr,
o
Yes No
I,~.J
(.up&ws
-r
O~" I -; d
I·
15
J I'
4. t(C){., (oJtf 01'1 r
( 4(A
I fk Q/: , P5 !:.kfv 5
-J V-J,
SerL 4!fz,ctl ;jf?I/t/(/o M~/l(c 7~J ( /t't!Pe .
Page 3 of 5

any manner on behal( of, e charitable organization:
_ . _
sfi &f? -~
f- - S
C; ((
/
U'//u-b ~<;;£c,/lJ r (/rf\. [I-vic
L
I //dt~
1

-# a 6u
(1) Total given to charitable organization (3" Y .
If S~e. Qif-6ck/ ;;~C;M/C( tf-,s{"(;)v((? sL.elf-
amount:
Page 4 of 5
.Charity Services Inc.
PO Box 706
Marion, Iowa 52302
(888) 400-7717
(319) 560-0849
, 20)..0 expenses for all campaigns:
Company Gross for 2010 was $273,97430 .
.
. . . " .
Groups recei\led $59.65130 ' (20 or 25% based on contract)
.'. Payroll expe'nse for telemarketers and staff ·

.
$87.922 ( Four part time callers
.
and 'myself.) .
Delivery People (2) $45,200
Phone Cost $3085
. . . ' .. ' '.
Invoicesand Delivery Matedals .. $3550
'. . Garbage Bags $35,200~75
Light Bulbs . $2822.25 "

. .. ' .
2005 KIA, insurances, payroll taxes, credit card, travel expense, misc'office expense, accountant
fees, areother expenses, if you need exact figures, let me know . .'

"It's In the Bag"
immediately.
SIGNATURE:
...-r-'
State of -I- 0 LJc- )
County of L. /1} I]
)ss.
)
I, _ ~e 6 (
f ic, being fIrst duly sworn on oath, depose and state that I am a
~J
/'
Subscribed and sworn to before me on ~tJ1eA d;l d)o/!
I~i~
. ~ JCommlaalon
JANET A.Number 75,,_
LANcIA!.
~/J %@CJ?
NotBIV
., • MY COMMISSION EXPIRES
~ March 27, 2011
Page 5 of 5
Charity .Services Inc.
. .
PO Box 706
Marion, Iowa 52302
(888) 400-7717
. (319) 560-0849
. . . .
W~ do no direct mail and the group we are raising funds for control 100% of the funds collected .The ·
funds; CSI pays all cost of the campaigns for these groups, they have zero expenses.
We. do consecutive
. ... .
fundraising campaigns
.'.
for our. .clients and every campaign is ran exactly the same",
with the exception of the Iowa Paralyzed Veterans who do not allow us to offer light bulbs. We offer
various size of trash bags a~d four packs of florescent light bulbs as thank yougiftsto the people we call
.and ask fora straight donation if they do not need the product.
We deliver to every donor a thank y~u letter arid invoice to all donors. The letter is included with each
~ili~re~~ ' . ' . '
· CSI has been working~ith these grou'ps for over ten yearsand some nearIY,twenty,all contracts have at ·
one time been sent to the state and these contracts are good until cancelled byeitherparty.
. ' " . . . .
We know our donors and time our campaigns to keep them supplied with bags, the ref() re we call some
· .towns every six months some everyfrveand ~O~ejustonce per year . 0
. My cailers average around $10 per hour and my drivers earn less than $25,000 per year and that
. ' . . ' . ' . '
· . includes their gas and car maintenance .

... • .
Please Il ook at the enclosed financiaJ dis~losure sheetthat follows..
' . /~
. .
·, 5,-22--1{ ·
!:")
"Joe Eagle ~CharityServices hie .

(:)
z
tI)
c:: .:r:
~
.f'rJ
::0. ;n
..:::0
::0
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f"T1
G
"
:0
Ci
oc..)
rq
~
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m
C? .3: -<
~
\.0 .
f7!
0
:z:
" . 0
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~ CJJ
:<
"Making Fwulraising Easy Sincet990" .

• "It's In the Bag" ..
515-281-5926
E-mail:
DISCLOSURE FORM

1. Name of Professional Fund-Raiser: r;...""'hq r ;1'1I £.rV1 CRS

l
~ C.
A. Name: /1f j?lfQ)g~+ ~S(C ~(>{)sbe.-s

5/ (? q /kcto-d (//\J ~ I e-tiee.
.5 e € 4if4-cL) j Nvp (e-tlee-

Page 1 of 5
The Mount Pleasant Music Boosters
p.o. Box 174 Mt. Pleasant Iowa 52641
Contact: Karen Bates Chabal, President
Phone -- 319.385.4710
Right in time for summer clean-up, it is garbage bag sales time again, offered
through the Mt. Pleasant Community Schools Music Boosters. An additional offer:
4-packs of energy efficient fluorescent bulbs.
Within the next two weeks, a representative of the Charity Services organization
will be calling on behalf of the Music Boosters to explain the garbage bag and light bulb
sales, including price, sizes, quantity and how to place an order. The garbage bags and
light bulbs will be delivered directly to the customers' homes.
"The focus for this fundraising campaign is to help underwrite the cost of
microphones for the music department said Karen Bates Chabal, Mt. Pleasant Music
Boosters president. "We have a very active music program with a growing number of
students.
The sole purpose of the Mt. Pleasant Music Boosters is to support the K-l2
instrumental and vocal music programs of the Mt. Pleasant Community School District.
All fundraising dollars are used directly for these programs. The Music Boosters' efforts
enable the music programs to operate at the highest level possible, according to Bates
Chabal.
Ongoing Music Boosters projects include the Marching Band Invitational, High
School Variety Show, InMotion Show Choir Invitational, Dessert Theatre, OPUS (K-l2
honor choir), All-State Music Festival, and the Middle School Honor Band Festival.
Membership in the Mt. Pleasant Music Boosters organization is free and is
defined as anyone with children participating in music in Mt. Pleasant Community
Schools. "If you have a child participating in any music activity within the schools or if
you just love music, we invite everyone to join the fun of being involved in Music
Boosters," said Bates Chabal.
The Charity Services, Inc., organization is registered with the Iowa Attorney
General's Office and assists organizations throughout the Midwest with fundraising.
(
3. Beginning and ending solicitation dates .0< { t () __-l- Jl~~

. -f- -gI /0
~
.~ No Ifno, attach a copy of the contract to this fonn.
Telephone Mail
Room 1
f1
Y 70S ()
---
I)-3d
b. All telephone number(s)from which solicitations are made:L3 (1) r
dOJ.,.- Y '30 ~ ,/
5JI-:toSJ) S'JI-V&(J, 5-;;1,1./£1/ _?"
c. Name(s) ofmanager(s) and/or supervisor(s) of the room: :Jue.. P:J (("

Room 2
8. Will the solicitation campaign involve the sale of goods or servicesG No
Page 2 of 5
Tickets to an event
9.
Other (describe)
Will the professional J .
< ( [
;, ..
< > = -~ .......
>.
(,' e
, .
:....<
® No
If"No," describe how the funds will be collected. tIt"Vi"'t:
II
Rr1 $. deir'tJ(es .J(\.
.9(ojuof- Ctrlj (c.>//I'cjs: tJ(//lClilo:C

1
A(( (riCo'! J t> £? 5 j l f'fC iff f-v /1l(cvj) , tf£ :5 / S,O! Cafe
pr t!.o do4";s th2 f ref(,l;~51- Iv - 0A,' / ~ dot1Qf!o/l ,j1. r
(c; lit,. ~I'. A(;II/I'/ e c; 4(' ,'(//r y v -6 ~se c./ k/~Sf ~

o
Yes No I. ~.J
tNptAvS O v"\.. !
',J '
,of /
J •
5 40.c>'{"£lt'o)<1
.
0/\[,.. 1(/1
/ fk /: 15 ~kfv's (
~ v...
being carried out. \I (
SerL 4l-kc~j !Jt?!/t/(/r rt~'l(c 7w I' ~((Pe~
Page 3 of 5
FlNANCIAL INFORMATION

4 ) ~1 Fl£t{ ~ t4?
v/ I iJrrvc. (~ /e-ndc:~ f .& m 7'(/} ~K: (

T----
MJ(~ .
C. Itemize how the professional commercial fund-raiser expended the funds:
dt .. 4 j
(1) Total given to charitable organization C{J, I '.
j( S.e(! Q!l6 c/u.cI /;~C;iUr'C( vlrs{"fo),v((? .si.e.tf
amount;
Page 4 of 5
·Charity 'Services Inc. '
PO Box 706
Marion, Iowa 52302
(888) 400-7717 "
(319) 560-0849
Charity Services 2010 Financial DisciosureSheet :
, 2010 expenses for all campaigns:
Company Gross fOr 2010 was $273,97430
Groups received ' $59.651.30 ' (20 or 25%based on contract) ,
Payroll expense for telemarketers and staff · ,, $?7.922 ( Four part time callers
' arid myself.) ,
. . . ....
Delivery People (2) , $45,200 ,
Phone Cost ' ' $3085
hivoices and Deli~ery Materials ' ' $3550 ,'
, ,
, ,' Garbage Bags " $35,200.75 '
~ight ' Bulbs , $2822;25 ,'.
2005 KIA, insurances, payroll taxes, credit card, travel expense, mise 'office expense, accountant
fees, are .other expenses, if you need exact figures, let me know. '
' 6~Making Fundraising Easy Since 1990"

"It's In ~e Bag"
Note: All information and docwnentation provided as part of this registration, including this
immediately.
SIGNATURE:
State of roUtL )
. ) ss.
County of L (71) )
I, ~& , being first duly sworn on oath, depose and state that I am a
~'
,/
Subscribed and sworn to before me on 1r) {l)C/; 2";;; dcf/
~A i4tJc,j)
Page 5 of 5
PO Box 706
Marion, Iowa 52302
(888) 400-7717
(319) 560-0849
. ' ' .
We do no direct mail and the group we are raising funds for control 100% of the funds collected. The '
group pays CSI

.
our agreed percentage which is either 80% or 75% and the group deposits
' . .
all raised
funds. CSI pays all cost ofthe campaigns for these groups, they have zero expenses.
. . ' . ' . - .
We. doconsecutive
.. ..
fundraising campaigns for our clients and every campaign .is ran exactly
.
the same
various size of trash bags and four packs of fI~~escent light bulbs as thank you gifts to the people we call
and ask for a straight donation if theydo not n'eed the product.
of these reports.
CSI has been working' with these groups for over ten year-sand some nearly twentY, all contracts h~ve at •
oneti~ebeen sent t~ ~he st~te and these ~ontracts are good untii cancelled by either party.
We kn()w our donors and time Ollr campaigns to keep them suppiiedwith bags, therefore we call some
towns ' every six months some every five and some'just once per year.
My callers average around $10 per hou'r and my drivers earn lesst~an $25,000 per year and that
includes their gas and car maintenance. -C')
o
x
, Piease'look at the enclosed financial disclosure sheet thai follows. (I)
c:
::x
'~
'- M
/\.I ,
3: ~ rr1
/~
~ , ,
5,-22~1{ , " ::c N C)

.."
:::0 , W J'11
0 , ~ <:
Joe Eagle':" Charity Services Inc ~. :x ' ' rri
'~ ...0 , 0
~ ~
o c:.n
~
''Making Fundrais~ Easy Since 1990"

.. ... ~ \
"It's In th~Bag"
515-281-5926
E-mail:
DISCLOSURE FORM

I. Name of Professional Fund-Raiser: C6,Qr ;+1 ~f(/I'qS 1/1 C,

file a separate Financiallnformation Disclosure form for each.)
A. Name: / 1r6C41:! tU Lib.tt5 \.. r.. . ?

S~e q&-c:~O SJ:e.et{rcrQ jl'ou/J
5~ e q If~~ C:;;~t-f- Lf(; tyl. f lo-cJ f

<J
Page I of 5
MUL')catlne Ll·ons Club
PO Box 173 Muscatine Iowa 52741
Infonnation Line -Glenn Rei[ 263-5570
Thank you for purchasing our trash liners, light bulbs, or for your donation. We feel the
bags and bulbs are great fundraising products as most of us have to buy them anyway.
We felt they would work great as a thank you for your support
We have listed below some of our 2010 projects-
Scholarships to Muscatine Community College
Sponsorship of Diabetic Kids to Camp Hertko Hollow
Vision Eye Screening for Area Children
Eye Glass, Hearing Aid, and Cell Phone Collection and Redistibution
Thank again for your support without people like you, we could not do our worfr hetfJ in our community.
If you would like some infonnation our would like to join our Lions Club, please call Glenn at the
number above or send this letter in to the address //sled.
Name Address~ ________________~
Phone~ __~__~_______________________
I
,- / 6'
3. Beginning and ending solicitation dates ~~ __ u;ufiuw> iD (10 .
@NO Ifno, attach a copy of the contract to this fonn.

Telephone Mail
from which calls will be made. Of more than two locations, continue on a separate sheet):
Room 1
a. Ai1L~ft:lepho~:,:()om (lnclu~e street, city and state):

y 70 s (J f1
Ae{(}/1 ,; U ':» 3dol
b. All telephone number(s)from which solicitations are made:Q (1)r Jo~- y 3u ') ,/
(;d I -: if oSJ) £JI- vtz (J, 5-J/, Lift!
-
:::::?"
~7 (t'
.
c. Name(s) ofmanager(s) and/or supervisor(s) of the room: :.Ja(
Room 2
a. Address of telephone room (Include street, city and state ):_ _ _ _ _ _ _ _ _ __
8. Will the solicitation campaign involve the sale of goods or servicesr!!3 No
Page 2 of 5
Tickets to an event
Other (describe) - ( - / "] C ( Vk'h---' ' I - v, { H I
9. Will the professional - } - . ' u _ . -}
®No
If"No," describe how the funds will be collected. tlt'vfri= leis..>(\. del/v(es
.,f)cu)ucA·- and (c;>Iit1ci~ ,1,Y/lCtfto4
fer t!.o cRQo.p;J t6 af refu;~si Iv - 05,-1 ~ do,l/q!lO/f IA .r

rc. ~r- ~" Aall!1fzr-
c q vic· / vIr 7' 0 Iv k)se c-/ ~/~$£ ,
II, State which of the following has the authority to withdraw the funds from any banking
Yes No
',J '
I. ~ J I .•
CflfCAU·S' O~" I . ,of 1.5 4. t/ C>,1.·d ("IT 011
( . .I fit QI'.;vf5 s.kfo./5 (
"l/1 r-J
being carried out. , . \(, t( ,
Se~ c;lkc~j ;jt'!/t/(rr Mcr;fc 7oJ ~lfr.e~
Page 3 of 5

'"' (s: ~ O(P ~ S-
eff /2c{llvi;' .£4"6:/1,[ ~t1( <;<'Y/Q 1 j2~(f~
(1) Total given to charitable organization l' ~/ 03 .SO

J( S~e Qif6Ck/ /;~r;rlL/c.( p/,scfo2"((! sL.etf-
amount:
o
Page 4 of 5
,Charity Services·Inc.,
PO Box 706
Marion, Iowa 52302
(888) 400-7717 '
(319) 560-0849
. 2010 expenses for all campaigns:
. , Company Gross for 2010 was$273,974:30
.. ' .
, ,
'
' Groups received $59.651.30 (20 or 25% based on contract)
Payroll expense for telemarketers and staff ' $87.922 ( Four part time callers
,'.and myself.) ,
Delivery People (2) $45,200

.,
Phone Cost · $3085
Invoices and Delivery Materials " $3550
, Garbage Bags $35,200.75
Light Bulbs $2822.25 ·
. ,' ' 2005 KIA, insurances, payroll taxes, credit card, travel expense, misc office expense, accountant
fees, are other expenses, if you need exact figures, let me know.
' .~Making Ftmdraising Easy Since 1990"

"It's In the Bag"
immediately.
SIGNATURE:
State of To f..J} IJ... )

) ss.
L(I)I)
County of
I,
r-- ~
~oe... t:...41ie.
)
,being first duly sworn on oath, depose and state that I am a

./
~
Subscribed and sworn to before me on "1f) ()I) cIJ ;; ~ d!l!/
QafIU !l dC(2()C/J!
No ry Public .
i
I
•
JANET A. LANCIAL
~ CommIesion Number 751.
• MY cow.etSSlON EXPIRES
I . MIn:h:n. 2011
Page 5 of 5
PO Box 706
Marion, Iowa 52302
(888) 400-7717
(319) 560-0849
Charity Services is a small company, we have two delivery people, four telemarketers. and myself.
. . . .
Wedo nodirect mail and the group we are raising funds for control 100% ofthe funds collected .The
. funds: CSI pays all costof the campaigns for these groups, they have zero expenses ..
We do consecutivefundraising campaigns for our clients and every campaign is ran exactly the same
. with the exception of the Iowa Paralyzed Veterans whodo not allow us to offer light bulbs. We offer
various sizeoftra~h bags and four packs of florescent light bulbs as thank you giftsto the people we call
'.and ask for a straight donation if they do not need the product . ..
. . . . ". . ' . : " .. , -' . .
Wedeiiver to every donor a thank you letter and invoice to alldonors. Theletter is included with each
of these reports . .
CSt hasbeen' worldngwith these gro~ps for over ten yearsimd some nearly twentY, all contracts have at .'
one time been sentto the state and these contracts are good until cancefled by either party.
•towns every six months some everyfrveand some just once per year.
My callers
' .
average. . around
. ...
$10 per 'hour. andmy
. - . .
drivers earn less 'than
" .
$25,000
..
~
per year and. that
. '
. . includes their gas and car maintenance.
Please look at theendosed financial disclosure sheet that follows .
..... /~ •. '3--22--(( .. '

Joe Eagle .:. Ch~rity Services Inc . .
~
Vl
~
o
~ . ~'
-.
,..,.. ::Do> . ;:0
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."Making Fundraishtg Easy Since 1990"

. , ."It's In tbeBag-'" '
515-281-5926
E-mail:
DISCLOSURE FORM
NOTE: TIllS FORM MUST BE COMPLETED FOR EACH CHARITABLE

1. NameofProfessionaIFund-RaiSer:h qr1t
C" 'i
7 ~('V1l..l.IS
(J ~
.LI7 ~.
A. Name:.d .f1.x:i/~f-'1 ~~Lefl

5~( u{6J,d! Me/' f&A JMJf/

5~~ ~dtd' le ·6I~€---

Page I of 5
North Liberty Jaycees
Post Office Box 306 North Liberty, IA 5231 7
Info line: Todd Mosier 333-9190
Thank you for purchasing our trash bags, bulbs or for your donation. It is
people like you that enable us to continue our work here in our ever
growing community. We sell the bags and bulbs so that we may give you
a thank you gift that you can really use in return for your pledge.
The North Uberty Jaycees are a hard working group of people dedicated
to making life better for our fellow citizens. If you are between the ages of
18-40, want to make new friends, establish business relationships, better
your community, and have a great time doing it, then please call Todd at
the number above or send this letter to the address listed and become a
North Liberty Jaycee HI
Below are listed some of our past and present projects and programs!
Annual Easter Egg Hunt at Penn Meadows Park
Haunted Maze
Helped Restock the North Liberty Food Pantry
Food Baskets to the Needy During the Holidays
Providing a Workforce for Community Events
Thank You for your support

3. Beginning and ending solicitation dates _ <i,'/
- .1~ tltre&gfl
-I 102 .
'@ NO Ifno, attach a copy of the contract to this fonu.
S. Soliciting will be conducted by (Check one or more that apply) :
Telephone Mail
AJ:
Room 1
a. t:lepho~m (lnclu~e street, city and state):

y 70 s (J- f1
~((/II i
;:LA ~)3cJol
b. All telephone number(s)from which solicitations are made:Q /9);
dOcA.. - <j 30 ~ ,/
5 d I -; to!]) £J I - </& (j , S-J', 4 £1 rf ::;::;==
c. Name(s) ofmanager(s) and/or supervisor(s) of the room: :Joe 6 7 ((
Room 2
a. Address of telephone room (Include street, city and state ):_ _ _ _ _ _ _ _ _ __
8. Will the solicitation campaign involve the sale of goods or serv~ No
Page 2 of S
Tickets to an event
Other (describe) ~/ -- ~ - ,t '~7J , . 4v VI Gl '--' 1/ < )

9. Will the professional L .).. • . - • .. r. - ..
® No
If"No," describe how the funds will be collected. !tIr'VI'f= fJflS..)1\..
(I
deir'{)(es
f9(orbuf ,<"j (G>I!f,l~ (j('.//lC{ilo:r
A(( J t> €' 5 clt~c 1ft- fv '<t~c,,//? vIu.5 itS, Of {ofe
(114 Ii
fee fio bk;S ·fltafr€,fu;,sl-" 1v-0i,-1 Y-Jve.. dOllo;fiO/1 J~.
rCi~r- &/\ At:(t/'A.e Cj 4r"tI~r yo Iv ~se cJ k/~~"

o
12. State whether contributions to the charitable organization are tax deductible: (
Yes No
'". J -" J ' J •
O"lpvS O~" I f , -f /5 ... 0.'1{ .. f (.;'1 Oil
(
r -r;1
/ ~ f! /',)./,P5 J. f-.qfv 5
Se~ C; fkc~j /)f/;Y('r 7-t~/l(c 7w (<<liPe.,
Page 3 of 5

~( ? q<f ( ~r
q If p ,t/vh /c;[c/r()'"s £()('1, ~~,,-~rCi I jh-il t c

(l) Total given to charitable organization .Js( 3G 7 ? '::.- 5"
advertising/promotion, etc. :
If .
5.ee Qif6Ck/ f:A.~rtC/cr tirscfo)"v((! s i.af- ~
amount:
o
Page 4 of 5
:Charity Services'Inc'• .
PO Box 706
Marion , Iowa 52302
(888) 400-7717
(319) 560-0849
Charity Services 2010 Financial DisciosureSheet :
2010 expenses for all ca'mpai~ns:
Company Gross for 2010 was $273,974.30
.. Groups received $59.651.30 (20or2'5% based on contract)

. . '
. Payroll expense for telemarketers and staff . $~7.922 (Four parttime callers
. and myself.) ,
Delivery People (2) . . $45,200 .

.,
'. Phone Cost $3085 '

-
Invoicesand Delivery.Materials '.. $3550
Garbage Bags . $35,200~ 75 .'
UghtBulbs >$2822.25
'. 2005 KIA, i~surances, payroll taxes, credit card, travel expense, mise'office expense, accountant
. . fees, are .ot,her' expenses, if you need ' exact figures, let me know . .
."Making Fundrais~ Easy Since 1990"

"It's In the Bag"
immediately.
SIGNATURE:
State of r 0 UIC )
) ss.
County of L/Q 4 )
I, Soc ~(~
, , being first duly sworn on oath, depose and state that I am a
p 7~
Subscribed and sworn to before me on """"1rJ {f)e/, d d, do)/
JANET A. LANClAL.
ComrniMion Number 75t.
~af]~/ rd
MY COMMIsSION EXPIRES
Men:h 27. 2011
Page 5 of 5
Charity Services ~c.
PO Box 706 ·
Marion, Iowa 52302
(888) 400-7717
. (319) 560-0849
. . . . ' . .
We do no direct mail and the group we are raising funds for control 100% of the funds collected. The '
funds; CSI pays all cost -ofthe
. .
campaigns for these groups, they have
.
zero expenses;
. with the exception of the Iowa 'Paralyzed Veterans who do not allow us to offer light bulbs. We offer
various sizeof trash bags and four packs of florescent light bulbs as thank you gifts to the people we call
andask fora straight donation if they do not need the product. · .
.' . '. .' . .
·We deliver to every donor athank you ietter and invoice to all donors. The lett~r is included with each
. ...of these reports.
. CSI has been workingwith these grou'ps for over ten yearsand some nearly twenty, all contracts have at •
. " . , . ' . ' . ' . .
onetime been sent to the state and these contracts are good until cancelled by either party.
We know our donors and time our campaigns to keep them supplied with bag~; therefore we call some.
·towns 'every six months some every five and some just once per year.
My.ealiers average around $10 per hour and rriy' drivers earn less than $25,000 per year and that
. I . ' . ... . .' . . . ' , • . ' . . ' . .
· includes their gas and car maintenance. . . .

. . . ' . .
n
' . (:)
Please look at the enclosed financial dis~losure sheetthat follows.

~
~ . ::X -,...
..,. :t:a ..-v
/~
- .:::0 rr-t
·'.),-22:-:t( .. tTl
;:u . N ~
I • ; .
''; 0' w '- . .

fT1
o _
Joe Eagle - CharitySe~ices Inc. x.. *<
~
-I
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•• t::;
::::: 1\.).
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"Making Fundraising Easy Sinrel990"

~'It's In tbeBag" .. .
.Charity Services ~c.
PO Box 706
Marion, Iowa 52302
(888) 400-7717
(319) 560-0849
We do no direct mail and the group w~ are raising funds for control 100% of the funds collected. The
'. funds: CSI pays all cost oUhe
: .
campaigns
,
for these groups,
.
they have zero expenses.
with the exception of t'he Iowa Paralyzed Veterans who do not allow us to offer light bulbs. We offer
various
.
size of trash bags a~d
.
four packs of florescent light bulbs as thank you gifts to the people we call
. and ask for a straight donation ,if they do not need the product . .
.We deliver to every donor a thank' y~uletter and invoice to all donors. The letter is included with each
of these reports.
CSI has been working with these gro~ps for over ten years and somene~rly twenty, all contracts have at •
. • I ' . : • • ~ .
We know our donors 'and time our campaigns to keep them supplied with bag~, therefore we call some.
towns every six months some every five and so~e justonce per year .
!")
' . • ' . . . ' c'· . '· 0 _.
My callers average around $10 per hour and my drivers earn less thC!n $25,000 per year and~at-":'
.' ". ". ' . . ' .' 'c :J:
includes their gas and car maintenance. . .. . . . . . . . ~.' . ~ :::0
::0
N
rn
"l;l C")
Please look at the enclosed fi\1.ancial disclosure sheet that follows. ::0 W .
o . tTl ..
-l :x
~ " 5'-22~!(
.~ ., :x <:
--' P"!
C)
z
\.0 o
N
Joe Eagle Charity Services hic: 0 .s:
:<
'"Making Fundraising Easy Since .1990"

. "It's In the Bag" . .'
.. '
515-281-5926
E-mail:
DISCLOSURE FORM
NOTE: TillS FORM MUST BE COMPLETED FOR EACH CHARITABLE

1. Name of Professional Fund-Raiser:qt

C'b, If7 ~t//CiS
-n (/. ~
.1-11 ~.
A. Name: SfR-/LC.J<.,r' LA- ~ 1: ce e 5

5£/ ({f(c.~ /ef6r P<X0 (j /-our:. ~
~~ ~if~ (;4~ /eff~-

Page I of 5
pau l UQl1ie (s ..--- Co,-,- +~v +
SPENCER JAYCEES
Po Box 151 SPENCER, IOWA 51301

SPENCERJAYCEES@YAHOO.COM
Thank you for supporting our group by purchasing our trash
bags or making a donation. It is people like you that allow us
to continue serving the community.
We have listed some of our past and present projects below:
Community Donations
Flagfest
Boy Scouts
Relay For Life
Presch ool Scholars h ip s
High School Sch olarships Positive Spencer Youth
Projects & Events

Youth Sporting Events
Haunted House
Hamburger Stand at the County Fair
Tree of Joy Easter Egg Hunt
We are always looking for new members. If you are between the ages of
21-40, interested in making lifelong friends, building a better
community, working with the area's kids, and having a real good time
doing all these things.... Then please mail this letter to the address above
or call the number given and become a SPENCER J AyCEE ..... .
Name:
Phone s: H C__________________
THANK YOU FOR YOUR SUPPORT !!!

3. Beginning and ending solicitation dates _1- t() through I2 - I ~
@NO Ifno, attach a copy of the contract to this form.
Telephone Mail
Room 1
a. Addre s of telephone room (Include street, city and state): y 70 S (J. f1

----- ~
.))30
b. All telephone n~ber(S)from which solicitations are made:[3 (1)r dOd....- Y 3v ~ ?
5J/~toSJ) 9 1 -tjiz{j; 5-J( 4ft! ;;:?
c. Name(s) ofmanager(s) and/or supervisor(s) of the room: :Joe £4 1 (t'
Room 2
a. Address oftelephone room (Include street, city and state): _ _ _ _ _ _ _ _ _ __
8. Will the solicitation campaign involve the sale of goods or services~ No
Page 2 of 5
Tickets to an event
Other (describe) SfC:V-O%~ ~'3 -r ( () ~ hr v. 'd)

9. Will the p r o f e s s i o n a l · . - .. .
® No
If "No," describe how the funds will be collected. 1.>//vl''?=~,
jJe l sv (\.. dflt'iJ(eS
/}(r)Jvc4- and cc;llecl~ t/C//1c{/IO:'

f
A Ii (l?4 Ii 8() €' 5

.
d,«'c (It.
rr
hz ~<j~CJv.~ < V-k:s /5 04 (fc
£r t1a )oop;s. ~a f retug,sl tv - 05,-' 'I-k d VI 'qlto
I J-.' 0
(c.litr- tk" At;(/,A. C q 4n'r//r <7 '" It> Iwre cJ ~/~$J 4
ZJ
Professional fund-raiser ~ Organi~ Both or either
I. J I fif Q/'c)Jf5
Yes No
- I' I ' I "
rJtfO'V S o,~ I f ,of 15 4. C/OA"Ifr.J1/ 0/\
A (
4'A r .J
:!:. fGiv'5
being carried out. \I I
5e rL c; tk ell 1Jt'1;//( '(r rt~-/l!c 70..) ( «((PI? #
Page 3 of 5
completed fiscal year or the previous twelve months) :

J:( J-o 1 g~ . ~J
I
d,(/a+I~" S frOM yEMr~ I p4c.
(1) Total given to charitable organization .it4/ S- ~ z-J

If S~e q!ltiCkcl ;;~~M/C( drscfoS'v'& sl.e.tf-,.
amount:
o
Page 4 of 5
~
:Charity Services Inc.
PO Box 706
Marion, Iowa 52302
(888) 400-7717
(319) 560-0849

, ' ,
.
, 2010expenses
, . .' . for
. all campaigns:
, ,
, Company Gross for 2010 was$273,974.30
,Groups received ' $59.651.30 (20 or 25% based on contract) ,

, ' ,
, Payroll ~xpense fortelemarketers and staff • , $87.922 ( Four parttime callers

,an'd:myself.) ,
, Dellivery People(2) , $45,200
, , Phone Cost ' $3085 '
,Invoices and DeliveryM~terials ' " $3550 ,
, Garbage Bags " $35,200.75' "

, '
'Ught Bulbs , , ,$2822.25 ".
',' 200S KIA, insurances, payrolltaxes, credit card; travel expense; misc office expense, accountant
fees, are ,other' expenses,if you need exact figures, let me know. . '
' . . . . . .
'"Making Fundraising Easy Since 1990"

"It's In the Bag"
immediately.
SIGNATURE:
State of fo UtA.. )
) ss.
County of L 1/) a )
I, ~o~ Eur~ , being fIrst duly sworn on oath, depose and state that I am a
,/
£i£
Subscribed and sworn to before me on ~ a1 ch de; do/ / J
40f!!! II 'Mal
ryPubm;
Page 5 of 5
515-281-5926
E-mail:
DISCLOSURE FORM
NOTE: THIS FORM MUST BE COMPLETED FOR EACH CHARlTABLE

1. Name of Professional Fund-Raiser: C/zQ(' ;/7 ~fvt'4S ~ C,
file a sepamte Financ,llnfonnation Disclosure fonn for each.)
A. Name: f/4#( /5we1 ~/ff7 ,7::;u e l
5-GL 'C &(~~ :5 ruv J2 !e.lfe/<- ,

y~ ccAf~{d i-e--/;!h
Page 1 of 5
VAN BUREN COUNTY
JAYCEES
P .o. Box 135 Stockport, la 52651
Brian Heisel 641-919-0901
Thank you for purchasing some of our trash liners, light bulbs, or for your donation. It is
people like you that enable us to continue our work here in the community.
These trash liners are recycled plastic and one of the last seamed bags being
manufactured. We felt they would make a nice useful gratuity item. They are great bags.
The bulbs are efficient, fluorescent bulbs that last long and burn cheap.
We have listed some of our past and present projects and activities
below...
Valentines for the Elderly Holiday Support of Local Food Pantry
Supershooters- Kids Competition
Haunted Barn Jr. High Dances
IF YOU ARE 18-40 YEARS OF AGE AND WANT TO MAKE LIFELONG FRIENDSHIPS, NEW BUSINESS CONTACTS, IMPROVE
YOUR OWN COMMUNITY, AND MAKE A DIFFERENCE, THEN BECOME A VAN BUREN COUNTY JA YCEE AND HELP US
BETIER OUR COMMUNITY. PLEASE RETURN THIS LETIER TO THE ADDRESS ON THE TOP AND MOST OF ALL ... THANK
you!!!! !!I!!!!!!!
NAME_______________________________
P~.-----------------
3. Beginning and ending solicitation dates Ji)O +--tftffittgh Gtit) Jtt
-----
. ~ No If no, attach a copy of the contract to this fonn.

Telephone Mail
Room 1
ft
a. Address of telephone room (Include street, city and state): (/ 70S (cJ
-.
S-) 3d .
b. All telephone number(s)from which solicitations are made:Q (1) Jo~· y ·30 ~ ,/
5dl-;'toS3) {JI-ViztJ, S-J/, lift! ~ __

c. Name(s) ofmanager(s) and/or supervisor(s) of the room: :Jot 6- 1 (e:
Room 2
8. Will the solicitation campaign involve the sale of goods or services?@ No
Page 2 of 5
Tickets to an event
9.
®No
If"No," describe how the funds will be collected. ttl/ v /("&= PtfS. .>1\.. d 'e(/{/(es
Jv
12[()~uf Cblc/
J
(c>llft<f~ tY{,.J/1~fro.1
. , '
Air tnCrr/ fjoc?5 j(fC'cf(; fv/f~'Vf!. ~~:s /<s,O!{t

:£r flo JO/lD( ~ ilttJI f fe~,)/,. .
Professional fund-raiser ~Ie Organi~ Both or either
12. State whether contributions to the charitable organization are tax deductible: . . (
I. ~ J 'I v5
Yes No C1-1fX!"VS 0 *,,- i
J
,-f
.
15 4-
J
04t't
(.
foJl/ 0'"
(
r ifA
" fk Q'rJ.;P5
-J '
J:,fGf
being carried out. \( t
S'e rL c;.fIu ctJ 1Jt71/1/(' /0 'rI-~''l!c 7w ( ~' tfr.e~
Page 3 of 5

Jt K S- L{.9 0/
tickets to events, g o v e 7 t s , private charities, foundations, etc.):
~j/( p (I/ j),* ()t7J/~ £r(/~ fjf'AvJ
tvt U;~.
(I) Total given to charitable organization 4: !.(()

j
f 8 r:)
Ii See q/fuch,/ ;:~'T,u:/c( ;;/rs{'foS-v((! .si.e-lf-
amount:
o
Page 4 of 5
:Charity Services Inc. . . ..
PO Box 706
Marion, Iowa 52302
(888) 400-7717 ·.
(319) 560-0849
, 2010expenses for all campaigns: ,
,,' C~mpany
. .
Gross fOr 2010 was $273,974.30
..
,.,
. '
Groups received · $59;651.30 (20 or 25% 'based on contr~ct)

. . . ' .' _.
. " .
Payrollexpense fortelemarketers and staff . ',' $?7.922 ( Four part time callers
' arid myself.). , . . " ,
. Delivery People ('2) ·'. $45,200
.Phone Cost . .$3085
Invoices and Deli~ery Materials ' . $3550 . '

, .
, Garbage Bags $35,200.75
light'Bulbs . $2822.25
' : ..
.. 2005
. .
KIA, insurances,
'. . '.
payroll taxes, credit card; travel
. .
.. ' ,
expense, miscoffice
. '' " .
expense, accountant
'. . .
fees, are otherexpenses, if you need exact

. . -. .
figures, let me know. :
.
"Ma:kfug Fimdraising Easy Since 1990"

"It's In the Bag"
immediately.
SIGNATURE:
State of .row C' )
) ss.
County of L (174 )
1, ~ f? &r & ,being fIrst duly sworn on oath, depose and state that 1 am a
(
~.
/
Subscribed and sworn to before me on 1)/)a;; cI; del do!1
JANET A. LAHCIAL
. '~ry Publtc
CommiIIIOf\ Number 151.
MY COMMISSION EXf'tAIS
MINd't 27. 2011
Page 5 of 5
PO Box 706
Marion, Iowa 52302
(888) 400-7717
, (319) 560-0849
We:do nodirect mail and the group we are raising funds for control 100% of the funds collected. The'
funds. CSI pays all cost ofthe campaigns for these groups, they have zero expense~.
, ,
We do consecutive fund raising campaigns for our clients and every campaign is ran exactly the same
. .. ' . . ' .
'. with the exception of the Iowa Paralyzed Veterans whodo not allow us to offer light bulbs. We offer
and ask for a straight donation if they do not need the product.
We deliver to every donor a thank you ietter and invoice to a" donors. The letter is included with each
of these reports.
- . , , . .. .
CSI has been working with these groups for over ten years and some nearly twenty, all contracts have at
one time been sent to ~he state and these contracts are good until cancelled by either p~rty. .
towns every six months some every five and some just once per year.
' . ,
My callers average around , $10 per ~o~:rand my drivers earn lessth.an $25,000 per year and that
includes their gas and car maintenance.
0
please look at the' enclosed fioanciai di~losure sheetthat follows. z
(/)
c: :x
,..,
', /~
::I: .~ :::0
:u rrl
3,-2-2~ I ( :;u
":t)
:::c
N
w r·
r.'l
Joe Eagle':' Charity'Services hic. 0
--; ::c- <:
ITI
n :x rr1
- -(
0 .. t:J
\D
:z N
c U1
:<
''Making Fundraising Easy Since .1990"

. ~It's In tbeBag"
515-281-5926
E-mail:
DISCLOSURE FORM
1. Please download/print this form .

1. Name of Professional Fund-Raiser:nq r

e," ,rtfI (J
~v1
l
C4S
---r
.L/I. ~.
A. Name: WAS~t~1\ Tu ~ {- CC\V2e..

S~e c!fcvG.hcJ (elfe r hvdt CJql'OJj/~

P0' cv~ckl letfftL_ _ _ __

Page I of 5
WASHINGTON JUST CAUSE
Information: Dean c;reiner 653-~yO

P.O. B.OX 245 WClsltlLVvgtoVv/ fA 52353
Thank you for supporting Washington County Just Cause. It is people

like you that enable our group to continue doing our projects here in
our community. Just Cause is a group of concerned citizens that wish
to help out the citizens of Washington County.
We have listed below the projects for 2010.....
The Annual Fireworks Show
Support ofthe HACAP Food Reservoir Fairgrounds Maintenance
Pre- Fireworks Free Entertainment
Providing Dunk Tank to the 4H and the Fair
We need more members!! If you would like to help your community and become
involved with local projects, charities and community programs without paying high
dues and membership costs; then please call DEAN GREINER at the number above
and become a JUST CAUSE member. ... .
3. Beginning and ending solicitation dates (" (0 tJH:etlgh (,plIo £ . (I - IU
I
~) No If no, attach a copy of the contract to this form.
.~
Telephone Mail
Room 1
a. Addre s of telephone room (Include street, city and state): (,170 .5 () ft
-.-- ~
.))3d
b. All telephone number(s)from which solicitations are made:[3 (1) Jo~- y '3u ~
r ,/
5 d l-:if oSJ) iJI-V(v{J, fJ-JI, Llf1! ;;;?"
c. Name(s) ofmanager(s) and/or supervisor(s) of the room: :Joe. 6 1 ('"
Room 2
b. All telephone nurnber(s)from which solicitations are made:_ _ _ _ _ _ _ _ __
8. Will the solicitation campaign involve the sale of goods or services? ~ No
Page 2 of 5
9.
qtlhlehr (de";,ribe) I
W 1 t e prolesslOna
(fW!l l-Vf( 69EJ" _ lib!:. ~,jJ )
@)No
If "No," describe how the funds will be collected. &I/VFf=. (/
JJ f (S-.l(\.. deftv(es
iQ(oJuc.-f CIA) (ol!(1cJ~ (jc//1t(flo'.t
v ,-J' . . . 0
f;c fio J{J4pr~ ih% f /efUq~5.f. Iv 05, I ~ d c/llq1!o/1 ,j1. r
(Co ~r- f/..a" ACi(/IA. e c, 4" r;/~r C; P> ~)Se c-/ Ja/~Sf
c./ I.
Professional fund-raiser ~Ie Organi~ Both or either
Yes No 1. ~ j
C7'fpvw-S 0 ,,,- I
',J '
I . "
,of 15 ... o.OA.,( f u4 01"\
(
r~A
.I fit Q , .c).I
-.J
/J5
;
.
s. k fv 5
(
5efL C; Ikc~j /YI/t/r,o !-A6'/lk 7w r khe ~
Page 3 of 5

any manner on behalf of the chatj.Jable organization:
q(
L£
0«fT
~ 1 -
~- ( Cell
2~
-
b. Itemize the source( s), and dollar amounts per source, of all funds collected on
011 f/tft"? -,Prlveft' c/e./\.c;f;o;"'s frOI'Y!

10e IC ( jk4~
(I) Total given to charitable organization ~ 6 )...L/ , ~ J

<:J{
j( S~e q/fockcl 1r~<;ML'C( v/rscr;Svr(! .si.af- ~
amount:
Page 4 of 5
, ,Charity-Services Inc.
PO Box 706
Marion, Iowa 52302
, (888) 400-7717
(319) 560-0849
, 2010 expenses for all campaigns:
Company
. Gross for 2010 was$273,974.30
.. .
Groups received $59.651.30 (20 or 25% based on contract)
Payroll expense for telemarketers and staff , $87.922 ( Four part time callers
' an'd myself.)
" Delivery People (2) " $45,200 ,
'- Phone Cost ~ $3085
, I~voicesand Delivery,Materials $3550
" Garbage Bags' $35,200.75
, , Light'Bulbs , ' $2822.25 ',

. ...- ' . ' - . . '.'. . . - . .
' 2005 KIA, insurances, payroll taxes, credit cClrd, travel expense, 'misc office expense, accountant - '
fees, areOtherexpenses, if you need exact figures, let me know. '
,."Making FuDdraising Easy Since 1990"

"It's In the Bag"
immediately.
SIGNATURE:
State of roW (J...... )
. ) ss.
County of L 1171 )
I, ~e. ~<,. t.r , being fIrst duly sworn on oath, depose and state that I am a
Subscribed and sworn to before me on 1YJ Q1 cO d d. do/I
(/rClIV-t A
~o ~ry Public
'@C'~
I
I
, 'i~~ Coinmlssion 75'.

JANET A.Number
LANCIAL
• • MY COMMISSION EXPIRES
. March 27, 2011
Page 5 of 5
PO Box 706
Marion, Iowa 52302
(888) 400-7717
(319) 560-0849
We do no direct mail and the group w~ are raising funds for control 100% of the funds collected. The'
group pays CSI our agreed percentage which is either 80% or 75% and the groupdeposits all raised
funds; CSI pays all cost ofthe campaigns for these groups, they have zero expenses.
We doconsecutive fundraising campaigns for our clients and every campaign is ran exactly the same
. with the exception of the Iowa Paralyzed Veterans who do not allow us to offer light bulbs. We offer
and ask fora straight donation if they do not need the product.
We deliver to every donor a thank you letter and invoice to atl donors. The letter is included with each
of these reports.
CSI has been working ~ith these grou'ps for over ten yearsand some nearly twentY, all contracts have at·
towns every six months some every five and somejust once per year.
. . ..
My ~allers average around $10 per hour and my drivers ear~ less t~an $25,000 per year and ~t _.
includes their gas and car maintenance.

.' .
. . ~
c ~
please look at the enclosed financia I disclosure sheet that follows.

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Joe Eagle..,. Charity Services Inc. 0-

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''Making Fundraising Easy Since.1990"

oJ .. ~ . ,
,' ;
"It'~ In the Bag"
515-281-5926

~
Please notice tbat tbe registration requirement is only for professional commercial fund-
raisers as defined in Iowa Code Cbapter 13C. Cbaritable organizations as defined in tbis
Cbapter are not required to register.
Professional commercial fund-raisers must also complete tbe attacbed form, "Cbaritable
Organization Financial Information Disclosure Form," for EACH cbarity for wbich you
raise funds.
1. Please download/print this fonn.

4. Return all of these fonns to the Consumer Protection Division (address above).

OF THIS FORM.
I. Name of Professional Commercial Fund-raiser, including any d/b/a and trade names :
(,'" b6. r ~ j 1 :;~ r Vie <? 5' J;1.<

place of business:
(LtO S Ae{,,~ I.4
12 t:!- s-J 5cJ.2..
..j.
fb ~ to re A4??Q'~ I/l S23a.2.
o','If" \j (' \ \ "1 "11 ~ '\ I "'J1 .1()(' " '' ' '
-1- Z'l d\ ~~ £2 ~3 ~. \ I,
CC:\ i\\j~.\3B
3. Form of business {:rp
~~~~~~~~~~-----
4. _ _A____
Identify the state in which registrant is organized or incorporated,_-::L
Date organized or incorporated,_ _-----"-(---1f_fL--"O"---_ _ _ _ _ _ _ _ _ _ _ _ __
5. FuJI name, title, address and telephone number of each officer, director, partner or managing
::J;;R- Gy,fe 3, t<f Srau (.) g ({ r

t?cJ 5" (2 & /~., , T/' S 2-502..
::£~ E;;}£
b. The person(s) responsible for the day-to-day operations of the professional commercial fund-
raiser:
50~ C::L~
"'"
raiser:
~ c:r (v
Xz 6~~
-0
e. The person(s) responsible for custody of all funds raised by the professional commercial fund-
raiser:
,..-,- ~ I
~ ()L C:C:;i~
v
-2
~e Cdri'.
been a party to any litigation, criminal or civil, involving claims oftbeft, fraud, unfair or
DYes ~o If yes, attach detailed explanation as to agency involved, date, court, claim and
8. Name, address and teleph?ne number of the registered agent for service of process in Iowa:
<
b eO(}tt Cr/))"r.Y1 tdJv (J

~2. (<J~ :I A
DYes ANo If yes, attach a list of all other states.
DYes ~o If yes, attach a detailed explanation.
any time?
.AYes DNo
DYes ~ If yes, please identify the charity and the subcontractor below: (Attach a
-3
I n xal7c -cJ}
(Seal) (Signatuife of Notary Public)
My commission expires 'Jf) 0') 06 C21 )tJ I(

let
I
~~ CommIMIon
JANEt A.Number
lANClM.
1fltM
• MY COMMISSION EJlPIAE8
. Marc:tl27. 20"
-5
P.o. Box 706 Marion, Iowa 52302
Attention Attorney General's Office,
I wanted to get my registration in for 2011. I am in the process of getting the group report
done. Charity Services has the exact same client list as last year (and the last 10 years
before that) I will submit all group totals upon completion of the report.
sincery/x'
Joe Eagle - CSI
2----2(-((
Address Reply To:
THOMAS J. MILLER HOOVER BLDG, 1305 E. WALNlIT
DES MOINES, IOWA 50319

ATIORNEY GENERAL
TELEPHONE: 515·281-5926
CONSUMER PROTECTION DIVISION TOLL FREE: 888·777-4590 (IN IOWA)
TELEFAX: 515·281-6771
11Bepartment of jJustire
Marc h 15,2011
Joseph A. Eagle
Charity Services, Inc.
470S12th
P,O. Box 706
Marion, IA 52302
RE: Professional Fundraiser Renewal
Dear Mr, Eagle:
This letter is notification to you that our office has received your completed renewal
registration form and ten dollar fee for professional commercial fundraisers, pursuant to the
requirements ofIowa Code Chapter 13C.
This letter is also the registration permit for Charity Services, Inc. to solicit contributions
for a charitable purpose in the State ofIowa. This permit expires February 2012.
Thank you .
Sincerely,
Helen Alessio
hka
DATE s.-j-I ~-U No. 329816
0.\
-I
RECE'VEO FROMc;£i "-"-,~
;:
~.
S0 es) ®.D -rlo!c. I$ 10 fJ'" I
UJ DOLLARS
Ug;~~VtR
J. i' ~CCOUNT
l\.:W 1 PAYMENT
0
O~~~
CASH
'!~FROM .
~O~-
(9'CHECK
BAL DUE 0 CREDIT
CARD hMB ~:O~ l
- - - - 1182 a.~
16350
CHARITY SERVICES INC.
PH. 319-373 -1288
470 S 12TH ST.
MARION , IA 52302-4215 72-1167/739
"'7 DATE J...-I J-.J- ( ! (
~~HE &U ~ Low ~

ORDER OF----.-_ _ _ _
"-_-- $ (0# 97
~,.>
:f~ J at/V? 5 D. __
1,- 0
DOLLARS l!..J =-'.. --.
FARMERS srATE BANK

319-377-4891
Ie;;;:;: f~ M'
b j 5 0 III I: 0 7 j 9 l. l. b 7 b I : 7~ 507
515-281-5926
E-mail: consumer@at:.state.ia.us
DISCLOSURE FORM

1. Name of Professional Fund-Raiser:_CJW_...t..,_I_nc_._ _ _ _ _ _ _ _ _ __
A. Name: Cedar Falls Police Association

P.O. Box 806, Cedar Falls, IA 50613 319-268-0426
.f
Mike Haislet 1 President
Page 1 of 5
220 Clay Street, Cedar Falss, IA 50613 319-273-8612

3. Beginning and ending solicitation dates 03/28/11through 12/31/11.
Yes No If no, attach a copy of the contract to this form. See Attached

X Telephone Door-to-door Electronic Media (TV, radio) Direct Mail
X Telephone Mail
Room!
a. Address of telephone room (Include street, city and state): 1006 Magnolia Parkway,
Waterloo, IA 50703
b. All telephone number(s)from which solicitations are made: 319-232-1790,

232-1972, 235-5680, 232-1995
c. Name(s) ofmanager(s) and/or supervisor(s) of the room: _M_ik_e_P_u..:;.gh

_ _ _ _ _ __
Room2 N/A

.f
c. Name(s) ofmanager(s) and/or supervisor(s) ofthe room: _ _ _ _ _ _ _ _ _ __
8. Will the solicitation campaign involve the sale of goods or services? Yes X No
Page 2 of 5
Other (describe)__:;-;:--;----:------:-:----;-----:--::--~__:_:____,~:___.__:;____;_7_:'"---
Yes XNo
If"No," describe how the funds will be collected. Funds will be collected from the
P.O. Box by the Program Chairperson.
1O. If contributions will be made by mail, identify all addresses to which the mail will be sent.
P.O. Box 806, Cedar Falls, IA 50613
P.O. Box of the Charitable Organization.
Charitable Organization Chairperson
Professional fund-raiser X Charitable Organization Both or either
Yes X No
13. ~ an a~hed sheet, describe the charitable program for which the solicitation campaign is
bemg earned out.
Telephone solicitation will be made to request fdonations from the community
in which funds will be distributed to support their Shop with a Cop R
Program and various community activities and programs.
Page 3 of 5
AGREEMENT
This Agreement made and entered into this ;.:;- day of /7'l4rtc./~ , -i9-t2/1 ,by and
between CJW, Inc., herein called "Company" and the Cedar Falls Police Association herein called "Sponsor'
WITNESSETH
For and in consideration of the mutual covenants, agreements and promises herein made, the parties agree that:
1. Sponsor engages the services of Company and its affiliates for the promotion of the Fund Raising Project and, or
production of a (an) Booster Sticker Drive and Shop with a CoP® Program , herein called "Project", promoted" in
the name of Sponsor and in connection therewith Sponsor allows, grants and extends to Company and its affiliates, the
use of its good name, good will and cooperation.
2. Sponsor will pay to Company for its services hereunder, the amount equal to twenty-five percent (25%) of all gross
monies collected from the project. Such monies shall be paid each week out of monies the project collected.
3. Sponsor will open a separate checking account, herein called "Project Account" designated as the parties may agree, in
. bank located in Cedar Falls, IA . All receipts from the Project shall be deposited in the Project Account.
Withdrawals from the Project Account shall be made on checks signed by an authorized representative or Sponsor.
Sponsor agrees to authorize the bank to send copy of each monthly statement on the account to Company. In the event
the bank will not send monthly statement to the Company then Sponsor agrees to furnish one to Company within five (5)
days after having received the same. Sponsor further agrees to continue such statements to Company for a period of
thirty (30) days after the project.
4. All expenses incurred in the Project shall be paid from the Project Account, except as herein noted to reduce project
costs. The sponsor will assist in any way required by the Company in arranging for the auditorium, if a show is produced,
and also will arrange office space suitable for the use of an Advance Promotions Representative of the Company: further,
the Sponsor shall arrange for the installation of telephones in said space for the use and promotion of the project.
Expenses shall include all telephone costs, carding telephone book, computer and data processing and any and all other
expenses incurred in the promotion of the Fund Raising Project with the understanQing that the carding shall become the
permanent property of the Company. If the project account is not sufficient to pay an expenses, the Company will
promptly pay any deficiency. Company agrees to indemnify and hold Sponsor harmless from any financial liability of loss
whatever kind in connection with the Fund RaiSing Project.
5. If the project account is not sufficient to pay all expenses, the Company will promptly pay any deficiency. Company
agrees to indemnify and hold Sponsor harmless from any financial liability of loss whatever kind in connection with the
Fund Raising Project.
6. local or State licenses or permits, if any, the auditorium, in the case of a show, and/or other expenses may be
contracted for in other party's name, if this will serve as a reduction of costs, and upon prior agreement of both parties.
7. The Company will furnish the services of an affiliate coordinator for the soliciting of public support as may be deemed
advisable. The promotional coordinator is to be paid for his services, expenses and the cost of administration of himself
and for sales personnel from the Project Account. The payments for these expenses shall be made weekly based upon
the oolleCti()rf or-donatioriswliichhave been deposited in the Project Account. lit is further understood by and between
Company and Sponsor that the promotional coordinator is an independent contractor who shall be working on a
commission basis and shall receive for his compensation for the work he does a sum equal to forty percent (40%) of the
weekly collections made by said coordinator and that out of this should be paid the aforementioned expenses incurred by
the coordinator. Company shall indicate to the Sponsor the portion of the forty percent (40%) to be paid to the personnel
assistant and public relations person who are assisting in the project. For a period of two (2) years from the last day of
telephone solicitation, the Sponsor agrees not to employ the affiliated Promotional Coordinator referred by the Company,
or any other CJW, Inc. employees or affiliates, directly or indirectly, for any purpose comparable to those services
provided by the same under the terms of this agreement, without first obtaining prior written consent of the Company.
Said consent may be withheld in the sole discretion of the Company.
8. All work shall be handled in a dignified and businesslike manner in the name of the Sponsor, with due regard for the
reputation and standing of the Sponsor.
9. Company, at their option will or (will not), sell advertising for and publish a program book for the project This program
book may contain a listing of all businesses and/or residents who pay monies for the purpose of advertising their name
and/or businesses in the program book. Proceeds from the program book will be considered as part of the project
account, as well as, the expenses attributed to the program book.
10. Company guarantees to pay Sponsor the greater of:
a) $12,000.00 per year , or;
b) 75% of all net profits from project which net profits shall be derived by deducting from all monies received after
all expenses, which expenses shall include but not be limited to costs of project, costs of solicitation, Company's
costs and taxes.
11 . A settlement of all sales and outstanding bills shall be completed within forty-five (45) days after the last day of the
telephone solicitation. After settlement of all sales and outstanding bills, the amount of money remaining in the account
guaranteed to Sponsor under this Agreement shall be recognized to Sponsor's account.
12. In the event of any adverse publicity hindering or damaging the project or if project is stopped against the will of the
Company, the Company shall not be liable for any guarantee set forth in this agreement.
13. Company will estimate the length of the solicitation, however, Company reserves the right to work up to the day of the
even in thos-e tnstances where there is a scheduled spectal event.
14. Until after the completion of the Project, and at least 90 days before the starting solicitation in this Project, Sponsor
will not conduct nor permit to be conducted, any other promotional or fund raiSing activities in its name such as may
interfere with the fund raiSing project as contemplated herein.
15. Both parties represent that they have full authority to enter into this Agreement and that execution of its terms will not
violate any other agreement by-laws, regulation or any other obligations of either party hereto, to any third parties, any
governmental or regulatory agency.
16. The Agreement shall continue for a term of one (1) year.
17. It is understood by and between the Company and Sponsor that this contract is not binding upon Company until
Signed by Edward J. Wiza, 111 President of CJW INC.
IN WITNESS WHEREOF, the parties have set their hands this It;; day of (!lftrs~i r 2 Olf
COMPANY: SPONSOR
~ : ~-:r)(r¢5
BY: ~'/foJ I t/. f?

ADDRESS:2;;.O L l,.,tbf .5, CeO/9tt. ft4~
TAX EXEPMTNO: ____________________
p.o. BOX 812
PORT CLINTON. OHIO 43452
419-734 -5823
FAX 419-734-5824
Edward J. Wiza, III Pruwent d CEO
March 24, 2011
State of Iowa
Department of Justice
Hoover Building
Consumer Protection Division:
Enclosed you will find a completed Charitable Financial Infonnation Disclosure Fonn
and a copy of signed contract between CJW, Inc. (the Professional Fund-Raising
Company), and the Cedar Falls Police Association, Cedar Falls, Iowa (the Charitable
Organizati on).
If you have any questions in reference to this matter, please do not hesitate to contact me.
Sincerely,
.~~~
Licensing Director
LASlknc
Enclosure:
"lila NOI1:J3LOl!d CJ3!rJnS~IO:J

~C :9 I1V 82 CJV~ I'
o.'l~f3.T3H
515-281-5926
E-mail: cOllsumer@>ag.state.ia.us
DISCLOSURE FORM

2. Please type or carefully print your responses . Answer all questions fully and correctly.
I. Name of Professional Fund-Raiser: COMMUNITY SAFETY, LLC
IOWA ASSOCIATION OF CHIEFS OF POLICE AND PEACE OFFICERS
A. Name:_____________________________________________________

PO BOX 100, DENVER, IA 50622; 888/732-1313
TERRY DEHMLOW, SECRETARY-TREASURER; SAME ADDRESS AND TELEPHONE # AS ABOVE
Page 1 of 5
3. Beginning and ending solicitation dates 7/1/07 tlrrough 6/30/10 .
FINANCIAL INFORMATION HEREIN INCLUDED FOR CALENDAR 2009
~ No If no, attach a copy of the contract to this form.
5. Q i l l be conducted by (Check one or more that apply):
e Door-to-door Electroni~a (TV, radio) Direct Mail
Print media (magazines, newspapers) th k A j ~ FbL.U>~u,..(:)
6. ~II be contacted by telephone and mail, how will the initial contact be made?
'~Mail
Room 1
. SAFETY SERVICES LLC
a. Address of telephone room (Include street, city and state): ..
750 TRANSFER ROAD, #20, SAINT PAUL, MN 55114

651/917-5300 AND DEDICATED T-l LINES
JARROD BIFULK-CARLSON
Room 2
a. Address of telephone room (Include street, city and state):_ _ _ _ _ _ _ _ _ _ __
8. Will the solicitation campaign involve the sale of goods or services? Yes
Page 2 of 5
Other (descri be )_;--;;-----:_.,--_ _:_:_---:------:-~_;__:_:_-_;___::__-_;___;_-____:_;_---.

Yes@
If "No," describe how the funds will be collected. _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
H~/'-
10. If contributions will be made by mail, identify all addresses to which the mail will be sent
identity of the individual or entity responsible for collecting mail containing contributions .
2463 BEAVER AVE. PMB 324, DES MOINES, IA 50310
(COMMERCIAl, MAIL SERVICE)
1L State which of the following has the authority to withdraw the funds from any banking
account (check all that apply) :
-
Charitable Organization Both or either
Yes~
being carried out. SPONSORSHIPS SUPPORT THE ASSOCIATION, ITS MEMBER
SERVICES, ACTIVITIES, AND COMMUNITY CONCERNS.
Page 3 of 5
completed fiscal year or the previous twelve months) :

§. 169,796.50
tickets to events, government grants, private charities, foundations , etc .):
Sponsorships $ 169,796.50
(1) Total given to charitable organization $ 27,167.44
(2) Total not given to charitable organization but expended on behalfofthe

transportation; professional services (attorneys, accountants, etc .);
Commissions $ 108,080.40
Program Supplies $ 3,394 . 91
Mail Services $ 1,085.18
Miscellaneous §. 277.67
amount:
G & A Allocation ~ 23 L 126.28
Fund Raiser Margin (Deficit) $ 6,664.62
Total ~ 29,790.90
Page 4 of 5
Administrati ve Rules relating to public records, 61 lAC chapter 2.
immediately.
SIGNATURE:
State of Minnesota
------)
County of Hennepin
---=------- )) ss .
J. Michael Callan .
I, , belllg first duly sworn on oath, depose and state that I am a
~-----
. 1 3~1 6
Subscnbed and sworn to before me on J
----------------------
Page 5 of 5
515-281-5926
E-mail: consumcr@.ag.state.ia.us
raisers as defined in Iowa Code Chapter 13e. Charitable oreanizations as defined in this
raise funds.
1. Please download/ print this form .

3. Include all required attachments (the contracts, ifapplicable, and the Charitable Organization
Financial Information Disclosure Form) and a registration fee of$]O made payable to State of

OF THIS FORM.
1. Name of Professional Commercial Fund-raiser, including any d/ b/a and trade names:
COMMUNITY SAFETY, LLC
place of business:
13120 COUNTY ROAD 6, MINNEAPOLIS, MN 55441
763-559-4000
,.
,..t'I
. r<e.:~'~"-'
""v
C(~~),. .... ~\
-J-
.(" , 'J ) . '"~~
" ,. , " ,
". ~~~
't\\ ',"\)
<:0\
.... \
~
." «~
,\"
,\
0
,··t\\,\ .->
\ ) .,
J. Form of business LIMITED LIABILITY COMPANY
4. Identify the state in which registrant is organized or incorporated MINNESOTA
Date organized or incorporated SE PTEMBER 3, 1993
ATTACHED
6. Name, address, telephone number and title of the following person(s) for the professiona l
J. Michael Callan, President
Same as #2
raiser:
same as 6a
raiser:
attached
same as 6a
raiser:
same as 6a
-2
N/ A
DYes ~o If yes, attach detailed explanation as to agency involved, date, court, claim and
N/ A
~Yes DNo If yes , attach a list of all other states.
10. Has the professional fund-raiser's right to solicit funds ever been denied , suspended, revoked or
DYes CXNo If yes , attach a detailed explanation.
I I. Has the professional fund-raiser been the subject of a legal, administrative, or other proceeding
regarding any sol icitation or registration as a sol icitor or fund-raiser? If so, state the date,
ATTACHED
any time?
~Yes DNo
lXYes DNo If yes, please identify the charity and the subcontractor below: (Attach a
list ifmore room is needed .)
-3
Iowa Assoc~at~on of Ch~efs Safety Services, LLc, 750 Transfer Road,
of Police and Peace Officers Saint Paul, MN 55114
r3¥es DNo DAttached
relating to publ ic records, 61 lAC chapter 2.
SIGNATURE
Date ;4~ J. Michael Callan

Name (Print)
President
T;tj~~
~,
~ature
State of Minnesota
County of Hennepin
Sign d and sworn to (or affirmed) before me on

<"".-
--'
I -;;; -' I ()
\UaLIOJ uy
"L~ I C{~ \({~ (names ofperson(s) making statement).
-4
(Seal)
" '- ,'

---..-----.-..
.
My commission expires I -"3/-1 \
G
MELODY A NAPUE
.1!' Notary Public
, Minnesota
5
~ cgm,TiuioQ, EWirfs 1n~ry.,,31cl:?22
-5
Attachment to registration renewal for Community Safety, LLC
5.
Member Companies of Community Safety, LLC
MNT, Inc., 13120 County Road 6, Minneapolis, MN 55441
North American Guardian, Inc., 12100 West Marion Lane #6202 Minnetonka, MN 55305
Officers
J. Michael Callan, PresidenUSecretaryrrreasurer, 13120 County Road 6, Minneapolis, MN 55441 :
763/559-4000
Robert T. Callan, V ice President, 13120 County Road 6, Minneapolis, MN 55441;
763/559-4000
6 (c)
J. Michael Callan, PresidenUSecretary/Treasurer, 13120 County Road 6, Minneapolis, MN 55441:
763/559-4000
Robert T. Callan, Vice President, 13120 County Road 6, Minneapolis, MN 55441 ;
763/559-4000
9. Alabama, Illinois, Maryland, Oklahoma, Washington, Wisconsin
11.
Community Safety, LLC, consented to entry of an administrative order, dated April 12,2005, issued by the
secretary of state of Georgia regarding certain registration procedures and other matters. The order was a
compromise settlement of a disputed claim and did not constitute an admission of wrongdoing by
Community Safety, LLC.
Community Safety, LLC, consented to entry of an assurance, dated August 26,2008, in a proceeding by
the state of Minnesota regarding certain solicitation procedures and other matters. The assurance was a
compromise resolution of a disputed claim and did not constitute an admission of wrongdoing.
Attorney General Tom 1\1iJ1er
13U5 E. 'Nalnut, Des Moines, Iowa 50319
515-281-5926

DISCLOSURE FORM

Instructions. To help us handle your registration :
1. Please download/prinl Ihis form.
2, Please type or carefully prillt your responses. Answer all questions fully and cOITectly.
3, Return this formes) with copies of contract(s), if applicable and the Professional Commercial
1. Name of Professional Fund-Raiser: CoM. tj E...T rn A1l K.E-T/IJG (SA OU-f\ XI\) C .
2, ldentify the charitable organization for which you will be soliciting money within the
A. Name: -:IOWA. Pu.8UC ,&-A-f)IO aJe.
B. Address and telephone number of the charitable organization :
~O?6 C!:rynffil4) lCATIO!\JS BLb6 - I5u

M.eS J:a SODI \ - BQ41
C. Name, tille, address and telephone number of the contact person( s) for the
charitable orgullization:
»CYNN.:t> T. (J,;J l RTH C-~ 0
Page 1 of 5
3. Beginning ami ending solicitation dates 3-15-D& through .3-14-15.
4. Is the contract between the professional funcl-raiser anel the charitable organization on file
with the office oftbe Iowa Atromey Generaj"
~~ lfno,attach a copy of the contract to this form.

5. Soliciting will be conductecl by (Check one or more that apply) :
vr;iephone Door-to-door Electronic Media (TV, "adio) Direct Mail
6.
fr0111 which calls will be made. (lfmore than two locations, continue on a separate sheet):
Room 1
a. Address of telephone ro0111 (Include street, city and state): ;.:11'1 STOWe.. Ai) eNLLE..
ro t-D foB.\> Q~ 915"01
b. All telephone number(s)from which solicitations are made: 5 L! \ -134- - 01 S Co S-
c. Name(s) of manager(s) and/or supervisor(s) of the room: saC K eN t:>&.\ '" A-T ,
VP of QPE.&A-TLcNS
Room 2
~{A
b. All telephone number(s)from which solicitations are made: _ _ _ _ __ _ __ _ _
c. Nallle(s) of manager(s) and/or supervisor(s) of the r00111: _ _ _ _ _ _ __ _ _ __
8. Will the solicitation campaign involve the sale of goods or services? yeG
Page 2 of 5
If yes, check one or more of the following thaI apply :
Tickets to an even I Advertising space in (\ program book, .!ournal, or other
otil er (clescri be )_~-----,,-----,-_--:-:_---:-_ _ -:-::_ -:---:--_:--::--_-:-------:-_ _ _ __ _

9. Will the professional fund-raiser collect donatecl fund s directl y from lh e dOl1or(s) in person')
Yes ~
If"No," describe how the fund s will be collected. A LL t=-l.LN~S 7/CoNTR. \BLLTlONS
ME- 5 E.NT d)IRr.<C;JLY ]D CL\.E.,t-.,JT·
bank of the professional fund-raiser or the address ofa charitable organization ; (2) the
AL.L Fu..I\) 'DS /cDNT8 \ i?u....'T\.OQS SE.N:t bl R. ~C3"L Y TO ~ zawA

J
PlJ..f)ClC AAb 10 . txT ND TImE.- Does eoYVHJE.-T iJrA-Ue.

Acuss TO DB CDtYTROL of FTN ~ U LENT f:.l.U\j DS ) I
t!..-bl\.l\R\.6v.-\"lDNS.
J 1. State which of the following has the authority to withdraw the funds from any banking
Professional fund-raiser (61aritable OrganizatED> Both or either
12. Stale whether contributions to the charitable organization are tax deductible:
Yes No
being carried out.
Page 3 of 5
FINANCIAL INFORMA nON

'$ '-ftQ J 7Qg. 8&'
behalf of the chari table organization: (contributions or donations; payments for
~h';(p, '7 q f. ~ fc l!.oNTR r8lL-rLotUS
c. Itemize how the professional commercial fund-raiser expended the funds: tL~
(1) Total given to charitable organization #~8 J 1'i:J . .3 I
NlA.
amount:
f?c OM' ,aPR a±k.cLd UpPM-L¥
Page 4 of 5
PROGRAM COSTS
CLIENT IPR
Program Costs From 03/15/2008 Thru 03/14/2009
TOTAL HOURS 558.7264

CALLING RATE $31 .22
CALLING COST $17,203.39
ADD-IN FEE $0.00
SUPPRESSION $0.00
OTHER FEES $275.41
TOTAL CLERICAL FEE $0.00
TOTAL POSTAGE FEE $0.00
FAX FEE $0 .00
LIST PREP FEES $442.75
NUMBER LOOKUP FEE $135 .00
MAIL DEPT CLERICAL $0 .00
MAIL DEPT POSTAGE $0.00
TOTAL AMOUNT SPENT $18,056.55

Administrative Rules relating to public records, 6J lAC chapter 2.
immediately.
SIGNATURE:
State of oRf.Cro,.J )
) ss.
County of 3AcK50,J )
I, BRu.CF to. Hol.l.6H ,being first duly sworn on oath, depose and state that I am a
136~
Subscribed and sworn to before me on SfP'(f.tn.8e.R ~8
J
f),r;oq.
•
OFFICIAL SEAL
ARLENE DICKINSON
NOTARY PUBLlC·OREGON
COMMISSION NO. 410768

~kUw~
Notary Public
~y~()MMISSION EXPIRES NOV. 4, 2010
Page 5 of 5
515-281-5926
E-mail: consumer@a2.state.ia.us
raisers as defined in Iowa Code Chapter l3e. Charitable oreanizations as defined in this
raise funds.


OF THIS FORM.
en"", hJ ce.-L n1 tL\-R K eXl t.J 0 8Bou..R :tNC.
place of business:
/~ 11 6TDw E.- A-vENU£ meJ\BJ)Cl) Of<- q 7S"O I

54 \-13 Lf -cJ5l.DG
f\"":\ \ n '.Jc\ ·\O\.l.\lS~

.t\\G ~G\ \ .;_l.V
~~ ,\ \\,1 s- \\~\ \\
a~ i\\3\ :1?j
1
Ej
3. Form of business {!oi<-POR....A-'LO ~
4. Identify the state in which registrant is organized or incorporated 0 R...E.6 0 N

Date organized or incorporated / - Oll- '9 q .3
PLE.R-SE.. SEE A n1\C.t\rn et--.\T #:5
(2) R.iLCe. 6. HoUG Ii 1 e R..f-S I D E-I\J T

I~.JI-I 6TOuJE.- Me.. (Y) SDFoRD of<- Q7So1
b. The person(s) responsible for the day-to-day operations of the professional commercial fund-
raiser:
S&CK E-N DRl K.&T

Ai/3D. c t\E,R.eY J-AN€- ()lE-Cf=ORJ~ oR C,750c.;
raiser:
6 Ru Cf 6. l:tnLL6 H ) fR.E.61 ~e I\J ' \
BRl i.e E- G. H-oU6 H PLEAsE t;X)TE..: ~Crvd\Je...T MA--~K£..T1AJG
6/iOuR bOES f\lOT c.oLLec..I )

t\ADe ACcess TO Q~ (!O~~OL of
ANY C-Ll EI\.J'T ~l..LN bS •
raiser:
8R.H Ct... G. f.\-oLLE:,\-\ ~OTE-". Cnl'h. i\J Er /Y14-R KE.TI Ai? GRowJ "DOES /001
ftA1.e CH.!SWOq of" ANY C LIE-NT Fu. !\JOS . Al.-L Eu.-tJDS /florJTR.II3LA'TlONS
J J~
PrR..£ 5f10T D/I2&TL-Y WittE C.L.IE.rJt· \'IS
~··?i';. \
-2- ""\ \ \j't\t\ ('" \\
'J:> - ~~\
C'\C\ \ · S..
.\'-, . \\6 .,~
("~.\ ,. ( \ ..... tJ
v /
.. '\ \\
\ \"
......
.'
COMNET
'-1:' Ml: ~ I I~IG ~
"C 'jC. Ji'
A-n-A-Ch-rYl ~T ft S
ComNet Marketing Group, Inc.
Company Officers
President Bruce G. Hough 580 Powderhorn Drive

Jacksonville OR 97530
Executive
Vice President Bob Bailey 260 S. Oregon
Jacksonville OR 97530
Vice President of
Operations Jack Endrikat 4130 Cherry Lane
Medford OR 97504
~
DYes ~ If yes, attach detailed explanation as to agency involved, date, court, claim and
CT c.oBeo&ATloN .$Y'STe-bil 515- 9LJs-4<fto9

~C;{~Q 68AN~ AOc, :DeS mO/t,J£S ;h8 503l~
~ DNo If yes, attach a list of all other states. A~Ac.t\-V"l~r -# q

enjoined b~ state or by any court, or are there any such proceedings pending?
DYes ~o If yes, attach a detailed explanation.
II. Has the professional fund-raiser been the subject of a legal, administrative, or other proceeding
1>.)/&
any time?
DYes L
DYes ~IfyeS, please identify the charity and the subcontractor below: (Attach a
-3
A~c t\- yy\ E/\Ji tt: q P'() I 0 f2..-
Com Net Marketing Group. Inc. STATE REGISTRATIONS & DATES
Alabama Illinois
Office of Attorney General Office of the Attorney General
Consumer Affairs Section Charitable Compliance Section
11 S Union Street 100 W Randolph, 3rd Floor
Montgomery AL 36130 Chicago IL 60601
Alaska Indiana
Office of Attorney General 302 W Washington St
Department of Law 5th Floor
1031 West 4th Ave., Suite 200 Indianapolis IN 46204
Anchorage AK
Arizona Iowa
Corporations Division Office of Attorney General
Arizona Corporation Commission Consumer Protection Division
1300 W Washington 1305 E Walnut
Phoeniz AZ.. 85007-2929 Des Moines IA 50319
Arkansas Massachusetts
Office of the Attorney General Office of the Attorney General
323 Center Street Suite 200 Div. of Public Charities
Little Rock AR 72201-2610 One Ashburton Place
Boston MA 02108-1698
California Michigan
Office of the Attorney General Dept. of Attorney General
Registry of Charitable Trusts Charitable Trust Section
POBOX 903447 POBOX 30214
Sacramento CA 94203-4470 Lansing MI 48909
Connecticut Minnesota
Dept. of Consumer Protection Office of the Attorney General
Public Charities Unit Charities Unit
55 Elm Street Suite 1200, NCL Tower
Hartford CT 06106 445 Minnestoa Street
St Paul MN 55101-2130
Florida
Dept. of Ag. & Consumer Services Pennsylvania
2nd Floor, Mayo Building Department of State
Tallahassee FL 32399-0800 Bureau of Charitable Organizations
POBOX 8723
Georgia Harrisburg PA 17105
2 MartinLuther King Jr Dr
Suite 802 West Tower South Carolina
Atlanta GA 30334 Secretary of State
Public Charities Division
paje 2. o-f 2....
POBOX 11350
New Hampshire Columbia SC 29211
Department of State
Corp. Division South Dakota
State House Rm 204 500 East Capitol Avenue
107 N Main St Pierre SD 57501
Concord NH 03301-4989
New Jersey Tennessee

Charity Registration Dept of State
POBOX 45021 Division of Charitable Solicitations
Newark NJ 07101 312 Eighth Ave North 8th Floor
Nashville TN 37243
New York Utah

Office of Attorney General Dept of Commerce
Charities Bureau Div. of Consumer Protection
The Capital POBOX 146704
Albany NY 12224 Salt Lake City UT 84114-6704
North Carolina
Solicitation Licensing Branch Vermont
POBOX 29530 Office of the Attorney General
Raleigh NC 27626 109 State Street
Montpelier VT 05609-1001
North Dakota
Secretary of State Virginia
600 E Boulevard Ave., Dept 108 Dept. of Ag & Consumer Services
Bismarck ND 58505 POBOX 1163
Richmond VA 23218
Ohio
Attorney General Washington
Charitable Solicitation Division 801 Capitol Way S
101 E Town Street Olympia WA 98504
Columbus OH 43215-5148
West Virginia
Oregon Secretary of State
Dpeat of Justice Building 1 Suite 157-K
Charitable Activities Section Charleston WV 25305-0770
1515 SW Fifth Ave Suite 410
Portland OR 97201-5451
,J I~ DYes DNo DAttached
SIGNATURE
Date / - )oj-a 0 II 8 RJ.LC~ CO. t\-o LL6 \-\

Name (Print)
eR~1 DE-Wr
Titl73-~~
Signature
State of OB E.60~
County of ;::s&ct<..50~
Signed and sworn to (or affirmed) before me on 'J"A r-J v...A R Y J./. , S- 0 II (date) by
~ G . t\-au.6 ~ (names ofperson(s) making statement).
-4
(Seal)
?tJaJ aJzit~o ~4~
•• OFFICIAL SEAL
LILA ARLENE DICKINSON
NOTARY PUBLIC-OREGON
COMMISSION NO. 453311
MY COMMISSION EXPIRES NOVEMBER 04, 2014
My commission expires A,)O\l. -1.
•
~Q 14
-5
515-281-5926
DISCLOSURE FORM

3. Return this form(s) with copies of contract(s), if appUcable and the Professional Commercial
1. Name of Professional Fund-Raiser: DIALAMERICA MARKETING, INC.
State of Iowa during this registration period. (Ifmore than one charitable organization,
A. Name: Special Olympics Iowa
551 Dovetail Rd.
P.O. Box 620
Grimes, IA 50111
Mark Reed . President & CEO (515) 986-5520
Page 1 of 5
3. Beginning and ending solicitation dates 7/112007 through 6130/2011
IX\YeGo !fno, attach a copy of the contract to this form.
s. Soliciting will be conducted by (Check one or more that apply):
Te.lepho~~~OOr-!O-dooJElectr~edijl....q'V, radic[JDirect MaiO
Prmt me agazmes, newspapersU"theru
6. Ifpersons
Telephon X
tIl ~ c~l!~cted
ailU
by telephone and mail, how will the initial contact be made?
from which caUs will be made. (If more than two locations, continue on a separate sheet):
Room 1
Please refer to attached list of Phone Rooms.
c. Name(s) ofmanager(s) and/or supervisor(s) ofthe room: _ _ _ _ _ _ _ _ _ __

Please refer to attached list of Phone Room Directors.
Room 2
8. Will the solicitation campaign invo]ve the sale of goods or services? YefX~o[]
Page 2 of 5
Other (describe)--...,~----:---:,--_=-=----:_ _::--=-----:-----:-:,--~-::-_-:--~_--:-:---:--_ _.

Ye~oD
If "No," describe how the funds will be collected._ _ _ _ _ _ _ _ _ _ _ _ _ __
10. If contributions will be made by mail, identifY all addresses to which the mail will be sent.
bank of the professional fund~raiser or the address of a charitable organization; (2) the
See attachment.
D
Professional fund-raiSejXbharitable OrganizatioDoth or eitherD
Neither (please explain
YesD No~
being carried out.
Page 3 of 5
completed fiscal year or the previous twelve months): 7/1/08 _6/30/09
a. Total amount of money coHected by the professional commercial fund~raiser in

$14,742.77
sale of magazine subscription

(1) Total given to charitable organization _$1_4..:...,7_4_2._7_7_ _ __
(3) State the total do]]ar amount billed to the charitable organization by the
amount:
Page 4 of 5
Note: AlJ information and documentation provided as part of this registration, including this
immediately.
SIGNATURE:
State of New Jersey
------)
County of Bergen ) ss.
-----)
I, Noreen Kaminski , being first duly sworn on oath, depose and state that I am a
managing agent of the professional fund~raiser; that I have read the contents of this Charitable
statement made and each answer given~Wl~
Subscribed and sworn to before me on 10/20109

--------------
fLM~t
~ o~
JANINE E. DIAZ
Notary Public of New Jersey
Commission Expires 9/12/2010
Page 5 of 5
PHONE ROOM LOCATIONS & DIRECTORS
1. Jerry Banchek, Center Manager

7271 Engle Road, Plaza South Three
Middleburg Heights, OH 44130 Phone: 440-234-4410
2. Ken Zawacki, Center Manager

9550 Regency Square Blvd.
Suite 303
Jacksonville, FL 32225 Phone: 904-724-0411
3. Robin Burns, Center Manager

King James Office Park
Building 3, Suite 425
24600 Center Ridge Rd.
Westlake, OH 44145 Phone: 440-835-5967
4. Chad Herrick, Center Manager

Fairlawn Office Park
3090 W. Market St.
Fairlawn, OH 44333 Phone: 330-836-5293
5. Amy Barrus, Center Manager

Ridge Plaza Shopping Center
8729 Little Rd.
New Port Richey, FL 34654 Phone: 727-841-0976
6. Joe Nocitria, Center Manager

9332 Clairemont Mesa Blvd.
San Diego, CA 92123 Phone: 858-292-6751
7. Tom Oxner, Center Manager

3300 Southwest 34th Ave.
Suite 170
Ocala, FL 34474 Phone: 352-854-8860
8. Dan Bellino, Center Manager

105 Kim Dr.
Suite 1
Gray, TN 37615 Phone: 423-232-6220
9. Nick Chao, Center Manager

100 E. Campus View Blvd.
Suite 150
Columbus, OH 43235 Phone: 614-985-3005
Copllevitz & Canter, LLC DIALAMERICA MARKETING, INC.
Form Attachments
METHOD OF COLLECTION
Pursuant to the terms of the magazine licensing agreements between DialAmerica

Marketing, Inc. and the pertinent charitable organizations, it is understood that the
charitable organizations will receive 12.5% of all subscriptions sold on their behalf.
Donations are not solicited, magazines are offered at a competitive rate to the public,
and customers are told that DialAmerica Marketing, Inc will in turn, pay 12.5 % of their
paid subscription price to the pertinent charitable organization. Since DialAmerica
Marketing, Inc. invoices the customers, checks for the subscription price are made out
to "DialAmerica Marketing, Inc."
Magazine sales receipts will be deposited in the following account:
Account #0094 2838 7323
Bank of America
750 Walnut Avenue
Cranford, NJ 07016
L.)IAL AM ERICA OialAmerica. Inc.

lJ,;I) M.l(,H tlwr B()l il t".',1rn
Mal l wi>li r.JJ U74QS
Tel 201 ~21 .07.0P

INWw dl,llilll)~·II(d.('1T1
February 23, 2010

1305 E. Walnut
To Whom It May Concern:
The enclosed "Financial Information" is an addition to our existing charitable

organization financial information disclosure form for the contract between DialAmerica
Marketing, Inc. and Special Olympics Iowa.
If you have any questions, please contact our attorney Shaun Petersen at Mac Murray,
Petersen & Shuster LLP at (614) 939-9955 or myself regarding this matter.
Sincerely,
DIALAMERICA MARKETTI'JG, INC.
~
Noreen Kaminski
Vice President, Government Affairs
Enc!.
., ,'" , " .'. ~-,,,,,, ". " ,.~ - "~,,
~ S:\ Hd SZ 33:\ U\
\... \, _._) I .,\ •-:~'
.......; \...
) ~i--' ~...:J
completed fiscal year or the previous twelve months): 11/1/08-10/31/09

$454,458.20
charitable fundraising through magazine sales and direct donations.
(1) Total given to charitable organization _$_67--'-,_31_6_.2_7_ _ _ __
$387,141.93=87.50% of paid magazine orders.
amount:
$.00
Page 4 of 5
515-281-5926

DISCLOSURE FORM


1. Name of Professional Fund-Raiser: DialAmerica Marketing, Inc.
A. Name: Special Olympics Iowa (Charitable fundraising through magazine sales and direct donations)
551 Dovetail Rd.
Grimes, IA 50111 (515) 986-5520
Mark Reed, President & CEO, same address as phone as 2B above.

~S~lSJ
Page 1 of 5
3. Beginning and ending solicitation dates 11/1/2009 through 10/31/2011
0Yes No Ifno, attach a copy of the contract to this form .
Telephone [Xl Door-to-door Electronic Media (TV, radio) Direct Mail
Print medial"magazines, newspapers) Other
6. "If persons will be contacted by telephone and mail, how will the initial contact be made?
r· r
Telephone J1ail
Room 1

Please refer to attached list of Phone Rooms .

Please refer to attached list of Telephone Numbers.

Room 2
8. Will the solicitation campaign involve the sale of goods or services? [R]Y es No
Page 2 of 5

Other (describe) Charitable fundraising through magazine sales and direct donations.
Yes No X
If "No," describe how the funds will be collected. Each bill we send to customers will specify payment to
Special Olympics Iowa, PO Box 42065, Des Moines, IA 50323-0981. The US Postal Service forwards payments
received from the PO Box 42065 to us for processing at our head quarters 960 Macarthur Blvd ., Mahwah, NJ 07495.
All payments received by us from the US Postal Service shall be deposited into a bank account in the name of Special
Olympics Iowa.
IO. If contributions will be made by mail, identify all addresses to which the mail will be sent.
If any of the addresses are di fferent than the addresses listed in response to question 2B,
(1) Each bill we send to customers will specify payment to Special Olympics Iowa. PO Box 42065. Des Moines. IA
50323-0981. (2) The US Postal Service forwards payments received from PO Box 42065 to us for processing at
our head quarters 960 Macarthur Blvd., Mahwah, NJ 07495
Professional fund-raiser Charitable Organization ~ Both or either
[IYes No
being canied out.
Page 3 of 5
completed fiscal year or the previous twelve months): 11/1/2009-10/31/2010

$528,308.10
Charitable fundraising through magazine sales and direct donations
(1) Total given to charitable organization _$_74...:..,7_8_3_.7_7_ _ _ __
$453,524.33=87 .50% of paid magazine orders.
amount:
$ .00
Page 4 of 5
immediately.
SIGNATURE:
State of New Jersey )

) ss.
County of Bergen )
I, Noreen Kaminski , being first duly sworn on oath, depose and state that I am a
~&2I ;d~
12/23/2010
Subscribed and sworn to before me on ---------------------
JnvflU'_2j7~
.
ty~tary Public
JAN\NE E. DlAl
~Olt«( pU8UC Ck NEW JERSEY15
tJr'I comm\s5lOO ExpireS 9112/20
Page 5 of 5
~HONE ROOM LOCATIONS & DIRECTORS

7271 EngJe Road. Plaza South Three
Middleburg Heights. OH 44130 Phone: 440-234-4410

9550 Regency Square Blvd .
Suite 303
Jacksonvine, Fl 32225 Phone: 904-72.4-0411

24600 Center Ridge Rd.
Westlake , OH 44145 Phone: 440-835-5967

3090 W. Market St.
Fairlawn, OH 44333 Phone: 330-836-5293

8729 Little Rd .
New Port Richey. FL 34654 Phone: 727-841-0976
o. Joe Nocitria, Center Manager

9332 Clairemont Mesa Blvd.
San Diego, CA 92123 Phone: 858-292-6751

3300 Southwest 34tl'l Ave.
Suite 170
Ocala, FL 34474 Phone: 352-854-8860
8. Dan Bellrn.o, Center Manager

105 Kim Dr.
Suite 1
Gray, TN 37615 Phone: 423~232-6220
R Nick Chao, Center Manager

100 E. Campus View Blvd.
Suite· 150
Columbus, OH 43235 Phone: 614-985-3005
515-281-5926
E-mail: consumer@D2.state.ia.us
raisers as defined in Iowa Code Chapter 13C. Charitable or2anizations as defined in this
raise funds.
I. Please download/print this form .


OF THIS FORM.
1. Name of Professional Commercial Fund-raiser, including any d/b/a and trade names:
DlALAMERICA MARKETING, INC.
place of business:
960 Macarthur Blvd
Mahwah, NJ 07495
201-327-0200
~
'tlJ \{C\St-I.O·:',
-1- \. 'J)1.IJl'i~
S.. \~'i\ \
.t-.\\j ,,0\ -' \
1\'"
\ S'.\)\ "'-. .- r ......,'.\
' \ ... \ -' \ oj i.,)
0.':\1 \ ..-"
3. Fonn of business~C~o~lp~o:.:..r~at:::lo~n::-.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
(Individual, Partnership. Business Corporation, Nonprofit Corporation, etc.)
4. IdentifY the state in which registrant is organized or incorporated Delaware
Date organized or incorporated.~1.=c2/3:.::...::.1:...:11:.::.9.c..7S=---_ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Noreen Kaminski
960 Macarthur Blvd, Mahwah, NJ 07495

b. The person(s) responsible for the day-to-day operations of the professional commercia! fund
raiser:
See attached list of officers.
raiser:
See attached Jist of officers.
Same as ft.
raiser:
Same liS a.
-2
deceptive trade practices, conversion, mismanagement of funds, breach offtduciary duty, or any
other claim involving alleged dishonesty? .
DYes tIi:INo If yes, attach detailed explanation as to agency involved, date, court, claim and
¥A
DaYes DNo If yes, attach a list of all other states.
DYes NNo If yes, attach a detailed explanation.
N/A
any time?
DYes ~No
DYes KINo If yes, please identify the charity and the subcontractor below: (Attach a
-3
DYes DNo DAttached
SIGNATURE
Date 12123/2010 Noreen Kaminski

Name (Print)
Vice President
~;z;;;«; Signature
State of New Jersey
County of Bergen
-------
Signed and sworn to (or affirmed) before me on 12/23/2010 (date) by
Noreen Kaminski, Vice President (names ofperson(s) making statement).
-4
~ i~eal) .
My commission expires JANINE E. DiAl

NOTARY PUBlIC OF NEW JERSEY
My Commission ExpIres 9I12/201f
-5
D1ALAMERICA MARKETING, INC. FEIN:
LIST OFAGREEMENTS WITH CHARITABLE ORGANIZATIONS
Children's Wish Foundation International, Inc., 8615 Roswell Road, Atlanta, GA 30350
CampaignPeriod: 02-01-2007 to 12-31-2008, 01-01-2009 to 12-31-2010 (Co-venture Magazine Subscription Sales)
Mothers
.
Against Drunk Driving, 5] 1 East John Carpenter Freeway,
. Suite 700, Irving, TX 75062
Campaign Period: 07-01-2010 to 06-30-20 12;(Business-to-Business fundraising)
Mothers Against Drunk Driving, 511 East John Carpenter Freeway, Suite 700, Irving, TX 75062
Campaign Period: 07-01-2009 to 06-JO-2011;(Co-venture Magazine Subscription Sales}
Special Olympics Iowa, P.0; Box 620, Grimes; IA 50111

Campaign Period: 07-01";2007 to 06-30-2011
Campaign Period: 11-01-200710 10-31-2009; 11-01-2009 to 10-31-2011 (Charitable Fundraising through magazine sales &
. . .. .. . . direct donations)
The Leukemia & Lymphoma Society; Inc., 1311 Mamaroneck Ave., White Plains, NY 10605
Campaign Perio<;i:07-01-2007 to 06-30-2011 (Co-venture Magazine Subscription Sales)
The National Cbildren'sCancer Society, Inc., One South Memorial Drive, Ste. 800, St. Louis; M0631 02
Campaign Period: 07~01-2007to 06.30-2011 (Co-venture Magazine Subscription Sales)
DIALAMERICA MARKETING, INC. FEIN:
LIST OF STATES, COUNTIES AND CITIES WHERE REGISTERED

Alaska: Alaska Department Of Law, \03t W. 4th Ave., Suite 200, Anchorage, AK 9950 I
Alabama: Consumer Affairs Section, 500 Dexter Avenue, Montgomery, AL 36130
ilrklll)sas: Consumer Protection Division, 323 Center Street, 200 Tower I31dg, Little Rock,AR 72201
Arizona: Secretary of State-Charities Division. 1700 W. Washington SI., 7th Floor, Phoenix. AZ 85007
California: Registry Of Charitable Trusts, 1300 I Strcet, Suite 10 I. Sacramento. CA 95814
cOlonido: Office OfThe Secretary Of State. 1700 Broadway. Suite 300, Denver, CO 80290
Connectiout: .Public Charities Unit, 55 Elm Sireet, Hartford. CT 061 06
Florida: Division Of Consumer Services. 2005 Apalachee Parkway, Tallahassee. FL 32399
Georgia: Offico Of The Secretary Of State, 2 Martin Luther King Jr. Dr. SE. #802, Atlanta. GA 30334
Hawaii; Department oflhe Atiorney General. 425 Queen Street. Honolulu. HI 96813
Iowa: Coll8illnCr Protection Division, 1305 E. Walnut, Des Moines, TA 50319
lliinois; Charitable Trust Bureau, 100 W. Randolph SI.. 11th Fl.. Chicago. IL 60601
Indiana: Consumer Protcetion Division, 302 W. Washington Street, 5th Floor, Indianapolis, IN 46204
Jefferson County, Kentucky: Dopartment Of Public Protection. 444 S. 5th, Ste 101, Louisville, K 140202
. Kansas: Secretary Of stine's Office, 120.S.W. 10th Ave., 1st FI, Topeka, KS 66612
Kcniucky: Consumer Protection Division, 1024 Capital Center Drive, Frankfort. KY 40601
Louisiana: Consumer Protection Section, 1885 N. 3rd Street, Baton Rouge. LA 70802
MassachusettS: Public Charities Division, I Ashburton Place, Boston, MA 02108
MaSsachusetts: Public Charities Division, I Ashburton Place, Boston, MA 02108
Maryland : Charitable Organization Division, 16 Francis Street, Annapolis, MD 21401
Maine: Office of Licensing and Regulation, 122 Northern Ave, Gardiner, ME 04345
. Maine: Office of Licensing and Regulation, 122 Northern Ave, Gardiner. ME 04345
Michigan: Chariiable Trust Section, 690 Law Bldg, 525 W. Ottawa Street, Lansing, MI 489\ 3
or
Minnesota: Office the Attorn~y General/Charities, 445 Minnesota Street, Suito 1200, St Paul, MN 5510 I
Missouri: Mis.souri Attorney General, 207 W. High Street, Jefferson City, MO 65102
. Mississippi:Offtce Of The Secretary Of State, 700 Nol1h Street, Jackson, MS 39202-3024
Liii~Oln. Nebraska: • 555 South 10th Street, Lincoln, N I 68508
North Carolina: Secretary Of~tat(l, 2 Soulh Salisbury Street, Raleigh. NC 2760 \
Nol1hDlikota: Secretary Of Siaie. 600 East Boulevard, Bismarck, ND 58505
New Hampshire: Cnaritable TrUsts Unit, 33 Capitol Street, Concord, NH 03301
New.Jers.ey: Office Of Consumer Protection, 124 Halsey Street. 7th Floor, Newark, NJ 07101
New York: CharitieS Bureau, 120 Broadway. New York. NY 10271
co.iuinbus, Ohio: Charitable Solicitations License Section, 750 Piedmont Road. Columbus, 01 43224
Ohio: Charituble Foundation Section, 150 E. Gay Steet, 23rd Floor, Columbus, OH 43215
Okiiih(mia: Oklahoma Secretary Of State, 2300 N. Lincoln Blvd., Room 101. Oklahoma City, OK 73105
Oregon: Dopilltmeill OfJustice, 1515 SW 5th Avenue, Suite 410, Portland, OR 97201
Pennsylvarila:Burcau Of Charitable Organizations. 207 North Office Building, Harrisburg, PA 17120
Rhodelshind:Charitable Organization Section, 1511 Pontiac Ave, Bldg 69- \, Cranston, RI 02920
South Caiolirui; Office OfThe Attorney General. 1205 Pendleton Street, Ste 525, ColumbIa, SC 2920 I
Souih Dakota: Office afThe AttorneY General, 500 East Capitol, Pierre, SD 57501
TonncisScc:Division Of Charitable SolicitatIons, 312 Rooft L. Parks Avenue, 8th Floor, Nashville, TN 37243
Uiah:nlvlsion QfConsumer Protection, 160 East 300 South, Salt Lake City, UT 45804
Vir8irtia:' Office of Consumer Affairs, 102 Governor Street, Lower Level. Richmond, VA 23219
Washington: Charitable Solicitation Division, 80 I Capitol Way South, Olympia, WA 98504
WisOOilsin:Dcpt Of Regulation & Licensing, 1400 E. Washington Avenue, Madison, WI 53702
West Virginia: Office Of The Secretary Of State, 1900 Kanawha Blvd., East, Charleston, WV 25305
DIALAMERICA MARKETING, INC.
Officers And Directors List
David J. Aboussleman, Vice President Carole Gowrie, Asst. Secretary Justin Piccione, Vice President
960 Macarthur Blvd 960 Macarthur Blvd 960 Macarthur Blvd
Mahwah, NJ 07495 USA Mahwah, NJ 07495 USA Mahwah, NJ 07495 USA
Michael Bardwell, Vice President Dina loppolo, Vice President Darlene Picha, Vice President
Larry Blumenstyk, Vice President Thomas Januski, Vice President John Redinger, Vice President
Deirdre Booth, Vice President Noreen Kaminski, Vice President Judith Reifler, Vice President
Arthur W. Conway, President/CEO/Director Randl Kaplan, Vice President Eileen Renowden, Vice President
Chris Conway, Sr. Vice President WIlliam A. Kirchner, Vice Robert Schultz, Vice President
960 Macarthur Blvd Presldent/Controller/Asst. Sec 960 Macarthur Blvd
960 Macarthur Blvd
Mahwah, NJ 07495 USA Mahwah, NJ 07495 USA
Mahwah, NJ 07495 USA
Mary Conway, Sr. Vice President Richard Sperber, Vice President

Mitchel Korb, Vice President
960 Macarthur Blvd 960 Macarthur Blvd
960 Macarthur Blvd
Tom Conway, Vice President Norlne Toomey, Vice President

Gerhard Lindenmayer, Vice President
960 Macarthur Blvd
Kevin Fields, Vice President

Lissa Love, Vice President
960 Macarthur Blvd
960 Macarthur Blvd
Robert A. Fischer, Sr.

VP/CFOlTreas/Sec.IDlrector Denis McHugh, Vice President
Susan Flannery, Vice President Joesph Nlosl, Vice President

9/16/20102:04:00 PM Page 1 of 1
·.
PHONE ROOM LOCATIONS & DIRECTORS

7271 Engle Road, Plaza South Three
Middleburg Heights, OH 44130 Phone: 440-234-4410
9550 Regency Square Blvd.
Suite 303
Jacksonville, FL 32225
Phone: 904-724-0411
24600 Center Ridge Rd .
Westlake, OH 44145
Phone: 440-835-5967
3090 W. Market St.
Fairlawn, OH 44333
Phone: 330-836-5293
8729 Little Rd.
New Port Richey, FL 34654

Phone: 727-841-0976
6. Joe Nocitria , Center Manager
9332 Clairemont Mesa Blvd .
San Diego, CA 92123

Phone: 858-292-6751
3300 Southwest 34 th Ave .
Suite 170
Ocala, FL 34474
Phone: 352-854-8860
8. Nick Chao, Center Manager
100 E. Campus View Blvd .
Suite 150
Columbus, OH 43235
Phone: 614-985-3005
Special Olympics Iowa
Good Morning/Evening! Hello Mr/s_______, this is ______ calling on

behalf of Special Olympics Iowa, from DialAmerica, a paid Professional
Fundraiser. I'll just take a real quick minute of your time, OKAY?
Thank you!
Now, Mr (s)___, you are familiar with Special Olympics, right? (Listen
& Respond naturally)...
They provide year round sports training and competition for children
and adults with intellectual disabilities. I don't know if you've had the
opportunity to see the events yourself...these athletes are so inspiring!
We really believe their participation builds confidence and self-esteem,
which is great isn't it? (Get buy-in!) I agree! That's why we are
working to help get more athletes involved...
We're getting the whole community involved this year by doing

something different. You can help by taking one short subscription to a
magazine at a guaranteed low rate and 12 ½% goes directly to our
program. All I need today is your okay and everything else is handled
by mail, you even get a nice letter of thanks from the Special Olympics
Iowa. We have titles like:
YOUNG WOMAN: (list titles in Fitness, Fashion, Entertainment,

and Children's categories)
MATURE WOMAN: (list titles in Home, Cooking, Health, and
Children's categories)
YOUNG MAN: (list titles in Computers, Sports, Hunting and
Fishing, and Children's categories)
MATURE MAN: (list titles in News, Business, Sports and
Children's categories)
And those are just to name a few ... Which ONE can I tell you more
about to help Special Olympics Iowa this year?
08-03 10:30 » 2094912091 P 4/5
DIR.ECTLINE TECHNOLOGIES, INC.
July 21, 2010

Univenity of Iowa Alumni Msociation
(Contract#: UIAAA072110C)
Untverslty of Iowa Alumnt Association (Iowa A.A..) hereby contracts with DirectLlne Technologies, Inc.
(DTO to provide a. telemarketing Membersfltp campldgn to solicit Lapsed and Renewals which include:;
campilign planning, tmplemenbtlon, and m&nage.ment. The p.I'Olect fee for the services deta:l!ed will be
calcub:ted at $6.67 per yeslno decision, not to exceed $2.5,000.00 without the express written
authorintlon of Unlverstty of Iowa Alumnt Association's representattve.
Opttonal Servicel1 Acoepted Addition,l Fees (if any)
Telephone Search/Update No Not Appllcable
Acknowledgement Prtnttng & Postage Yes Included In Protect Fee
Reminder/Collection Process Yes Included In Protect Fee
Secure Website Access Yes CompUmentary Service
Digital Votce Recordings Yes Complimentary Service
An accurate report or
the work product wtll be provided to Iowa AA staff throughout the project.
Subsequent revisions or amendments to this agreement mus~ be submitted In writing and signed by
authortzed representatives of University of Iowa Alumni Association md DtrectLtne Technologies, Inc.
Schedule
$25,000.00 Lapsed Qata: Delivery 11101/10
$ 0.00 Tentative Lapsed Call Start Date 12/01110
$ 0.00 Lapsed Call Completion 12131110
$ 0.00 Renewed Datil DeHvel,. 01103/11
$ 0.00 Tentative Renewal Call Start Date 02/01111
$ 0.00 RentWIIl Cllll CompletIon 02128111
Contract Conditiotls
I. PricIng Is for this contract only, and remiJlns valtd for 60 days from date of issue. 121 interest will be
charged on accounts 30 days PiI$t due.
II. Data must be supplied In the requtred format.
1II. Prospect datI! includes accurate addresses and telephone numbers, as described in the proposal
assocIated with this contrnct, to enSure anticipated performance. Should drla qu!lity, or the
distribution of records among prospect segments, v~ry Significantly from protections assOciated with
this contract, revised prolections wlll be produced by DirectLtne lor low! AA written approval. Any
lind Ill! guilrimtees wlll be confirmed, or set liside, on the basts of such mutually agreed revisions.
IV. All lists utiliud throughout this program remain the properly of Untversity of Iowa Alumni
Association and wtllnot be used for uny purpose other than those outlined. The Mme and address of
each person pledging to loin, together wtth the date and amount of the commitment, Shall be the
sole exclustve property or the charitable trust with no rights to transfer, sell, rent, or otherwise CaUse
to be used by the originating chzrrihble trust.
I Stationery, wIndow envclopel,lInd return envelopes to be lupplled by client.
1600 N. ClITpelltfT Rd., Bldg..D, Modesto, CA 953'51 • www.dtrectlil1e·rech.com

800·448·1200 • 209·491·2020 • fu: 209·491·2091
-08-03 10:31 » 2094912091 P S/S
V. low.! AA will provide data, caller trainmg materials, letter text (tf any), $ignature samples, and
necess6Iry approvals to DTl staff 30 days prIor to call d1lte or proiect delays will occur.
V!. Customlz.!tion requests must be mutually a:greed and specjfjed at the time of diltll delivery.
VII. Iowa AA agTees that DTl will be its sole provider of telemarketing solicitation services for the
contrClct dUflltion.
VII!. Should Iowll AA eontract for reminder servtce Iowa AA st:tff is required to report payments via: DTI's
secure client web site a minimum of every .seven calenda:r days; ffdlure to do so will constitute a
breach of contrClct and void !dl guarantees. Payment reports must include anpayments received
includIng checks, electronic fund transfers, and credit card payments processed as a result of credit
cards accepted and reported to Iowa AA at the time of the telephone pledge.
IX. DlrectLtne Technologies, Inc. agrees to maintain PCL DSS certtfication as requIred of University of
Iowa Alumni Association by UnIversity of low! Alumni ~sodatton's merchant card network{s.)
X. 100" of gross contributions wtll be deposited by University of Iowa Alumni AsSOciation to account(s)
within its control. At no time will funds or assets he collected, c:rged, processea, handled, managed,
received, deposited, Or controlled by DirectLine Technologies, Inc.
XL University of Iowa Alumni Association w1ll to receive a minimum 100% of gross income generated as
II result of this solicitation.
Xli_ The montes raised as Il result of thi9 telephone solicitation will be used for providing services lind
benefits to alumni and students of the University of lowlI.
XIIl. DlrectLine Technologies, Inc. will provide Untverslty of Iowa Alumni Association with all
COl'\stltuent requests to be placed on University of Iown Alumni Association's do-not· cOlli Hst at
rroject conclusIon. University of lowa: Alumni Associatton bears full responsibility for transferring
'these do-not-call requests to internal databases, and matntatntng tnternal do-not-clrl1lists, ilS may be
rt'qulred by state or federlrllaw.
XTV_ Any cell phone number prOVided to DlrectLjneT~chnologtes fol' the purposes stilted In this contract
are provided wtth the express consent of tne tndtvId~lal who provided the cell phone number as their
COt tact number.
XV. DirectUne Technologies Inc. guarantees that In no case wtll fees exceed the total amount of pledged
tl:1come.
If this contract meets with the approval of University of lower Alumnt Associlltion's lIuthoriied
representatives, please sign below and return one copy to DirectLine TechnolOgies, Inc.
/
~ =- ~ -.J.2
~J1nor, P~stdent~ CEO
date C@).:1 Mr. Vince Nelson, PreSIdent
-,i'o.lill,t,
DtrectLtne Technologies, Inc. Untversity of Iowa Alumni ASSOciation
Dlrect1..lne Technologtes, Inc. Contra:cl: page 2 of 4

Hoover State Office BuiJding
515-281-5926
PI~ase notice that !he registration requirement is only for professional commercial fund
raisers as defined III Iowa Code Chapter 13C. Charitable or2 anizations as defined in this
raise funds.
I . Please download/print this fonn.

2. Please type or carefully print your responses . Answer all questions fully and correctly.
Financial Information Disclosure Form) and a registration fee of$10 made payable to State of

OF THIS FORM.
DIRECTLINE 'I'ECHIDLOGIES, INC.
place of business:
1600 N. CARPENTER ROAD, BUX;. D, IDDES'ro, CA 95351-1145
(209) 491-2020
-1
,
:-,:'
f. A.ll persons managing or supervising fund-raising activities in or from Iowa:
N/A
DYes lXNo If yes, attach detailed explanation as to agency involved, date, court, claim and
CORPORATION SERVICE COMPANY
729 INSURANCE EXCHANGE BLDG., DES MJINE, IA 50309
[XYes DNo If yes, attach a list of all other states. SEE ATTACHED
DYes ~No If yes, attach a detailed explanation.
NO
any time?
DYes IE.No
DYes ~No If yes, please identify the charity and the subcontractor below: (Attach a
list ifmore room is needed.)
-3
(Seal)
)<> AOO A A A no A <>-<><>'( (Signature of Notaryblic)

r '. TINA M. JOHNSON ~
o('J - COMM. /I 1879298 " My commission expires <>\4\,"-i:
• NOTARY PUBLIC • CALt~ORNIA "0'
STANISLAUS COUNTY
--~~~ru~,~---- ______
~~&Y COMM. EXPIRES MARCH 4, 2014 ....
-5
Directline Technologies, Inc.
Attachment to Iowa Professional Commercial Fund-Raiser Registration
Item 5. Full name, title, address and telephone number of each officer, director, partner or managing agent of the
professional commercial fund-raiser:
i) Martha E. Connor, President/CEO (209) 491-2020
1600 N. Carpenter Road, Bldg. D, Modesto, CA 95351-1145
ii) Gary S. Connor, Secretary/CiO (209) 491-2020
1600 N. Carpenter Road, Bldg. D, Modesto, CA 95351-1145
iii) Michael P. Zagaris, Chairman of the Board (209) 491-2020
1120 Scenic Drive, Modesto, CA 95350
Item 9. list of States Registered as a Professional Fund-Raiser:
i) Alabama
ii) Alaska
iii) Arizona
iv) California
v) Colorado
vi) Connecticut
vii) Florida
viii) Georgia
ix) Illinois
X) Indiana
xi) Kansas
xii) Kentucky
xiii) Louisiana
xiv) Maine
xv) Maryland
xvi) Massachusetts
xvii) Michigan
xviii) Minnesota
xix) Mississippi
xx) Missouri
xxi) New Hampshire
xxii) New lersey
xxiii) New Yo rk
xxiv) North Carolina
xxv) Ohio
xxvi) Oklahoma
xxvii) Oregon
xxviii) Pennsylvania
xxix) Rhode Island
XXX) South Carolina
xxxi) Tennessee
xxxii) Utah
xxxiii) Virginia
xxxiv) Washington
XXXV) Wisconsin
Directline Technologies, Inc. Pagel of I

DYes DONo DAttached
will be soliciting money in or from Iowa. SEE ATI'ACHED
SIGNATURE
12/13/10
Date_ _ _ _ _ _ _ _ _ _ _ _ _ __ MARTHA E. OONIDR
Name (Print)
PRESIDENT /CED
Title
/
SignatUre
State of CALIFORNIA
County of STANISLAUS
Signed and sworn to (or affirmed) before me on b ~gn)beC \'0. ~ \0 (date) by
_'1f)..!. .'-. --l,t'"'Oy"'-\.""XL..JV>r..u.o(l----'.I...::.L-!.---"C-""'O"--":....:''--'{\=c'-'--(__ _ _ _ _(names of person(s) making statement).
-4
mRPORA'l'ION
3. Fonn of business
---------------------------------------------------
4. CALIFORNIA
Identify the state in which registrant is organized or incorporated______________
Date organized or incorporated__O_2_'_1_5_'_9_0_ ____________________________
SEE ATl'ACHED
MARTHA E. mNOOR .
1600 N. CARPENTER ROAD, BlDG. D, MJDESIO, CA 95351-1145

raiser:
MARTHA E. mNOOR
raiser:
MARTHA E. mNNOR
MARTHA E. mNOOR
raiser:
rur APPLICABLE - AT ro TIME 00 WE mLL'ECl', CAGE, PROCESS, HANDLE,
MANAGE, RECEIVE OR mNIROL ANY FUNDS OR ASSETS SOLICITED FOR
CHARITABLE PURPOSES.
-2
515-281-5926

DISCLOSURE FORM

ORGANIZA TION THAT RECEIVES FUNDS SOLICITED IN OR FROM IOWA

1. Name of Professional Fund-Raiser: Phone Bank Systems, Inc.
State ofIowa during this registration period. (If more than one charitable organization,
A. Name ~ 1f,blr'c&tJ,'t> j:J:iJl.ua Sfak f1I1liMify

2D Zz. UJIUIIi/NUpJ,;",.s BUff-' An, ~~,.LA 5ltJ/ I

6!XJ" 8bl-800D
\JeMJ /JillcJitsJ., t,~t, 1I1eml!!~~ IPu» /YJ/iG RA
Page I of 5
ZOU CDJMJMIUU~h'IHs Ells·} Au4eS, Ii'{, S71J/I, 'J7S'- 2~If-BJJ/)3
3. Beginning and ending solicitation d a t e s . through IJw.p I.
~Yes DNo If no, attach a copy of the contract to this form.
[ZJTelephone Door-to-door Electronic Media (TV, radio) DDirect Mail
orelephone DMaiJ
Room 1
4990 Northwind Drive, #235, East Lansing, MI 48823

5171332-1500
RushaAwad
Room 2 NIA
8. Will the solicitation campaign involve the sale of goods or services? DYes DNo NIA
Page 2 of 5
If yes, check one or more of the following that apply: NIA
Other (describe)_,.......,-_ _,.--_-,--_...,....-_ _ _--,-_ _-,--_ _-,--_ _ _ _ _ __
DYes ~No
If"No," describe how the funds will be collected. _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Charity has custody and control ofthe funds raised.
please state : (1) whether the address is that of a post office box, commercial mail service,
D Professional fund-raiser ~Charitable Organization DEoth or either
DNeither (please explain)
DYes DNo
being carried out.
Page 3 of 5

PBS does not collect money. All monies go directly to the charitable
organization.
b. Itemize the source(s), and dollar amounts per source, ofal! funds collected on
PBS does not collect money. All monies go directly to the charitable
organization.
(1) Total given to charitable organization __

10_0_._00_ _ _ __
NIA- PBS does not have custody or control ofthe fund raised.
amount:
PBS will receive $ 3.30 per contact

$0.03 per record found or verified if asked to research phone numbers, with a
$150.00 miniwum.
See contractfor additional information.
Page 4 of 5
immediately.
SIGNATURE:
State of JI/du~ )
:I::1It.~
) ss.
County of )
I, .~ ~", ~eing first duly sworn on oath, depose and state that I am a
~~
Subscribed and sworn to before me on 1,- -/{ ~ JO
----------------------
Nom!rkric 11f/J
- ~'CHAA: J..DI<J.I, RAFALSKJ
NOTARV PJ8~ 2 · S'A;£ 0< MICHIGAN
COut-:rv C< INGHAt;'
._~m~s.:siQ(l Exptr.. May !3.:.~
'.
" . _-_..
..
....4
Page 5 of 5
C l - \?. Co L 7 - 09
PROFESSIONAL SERVICES CONTRACTUAL AGREEME~~T
THIS PROFESSIONAL SERVICES CONTRACTUAL AGREEMENT (hereafter Agreement) is made by and between
IOWA STATE UNIVERSITY (also referred to as "University" or "ISU"), and Phone Bank Svst ms Inc. (also referred to as
·'Contractor). Should the total compensation under this Agreement including reimbursables bp projected to exceed
S2,000 this Agreement is not valid until signed by the ISU Purchasing Department.
FOR CONSIDERATION of the mutual promises and covenants contained in this Agreement,
agree as follo ws:
t* University and Contractor
1. SCOPE OF WORK
A. PROFESSIONAL SERVICES: Contractor agrees to provide the following services (hereafter also referred to
as Professional Services):
Outbound Calling Program
The outbound calling program includes, but is not limited to , the following functions:
• Conduct monthly calling programs to solicit fundraising donations, up to 500 names per month
• Script development
• Campaign and real-time reporting
e Testing
• Training
Call Center Core Requirements

Provide for the follo w ing services to ensure compatibility with IPR's donor software as well as compliance with
Payment Card Industry (PCI) data security standards.
• Securely import and export data to and from IPR donor database
• Manage credit transactions with IPR vendor
• Manage peak volumes in condensed calling campaigns
• Customer and technical support during regular business hours and by arrangement
• Campaign consultation and strategy
• Account management supervising design and implementation of calling programs
• Campaign analysis for efficiencies and Return On Inv estmerit .
• NCOA and Telephone Research .
• Creative materials (scripts, pledge confirmations/reminders' and e-messaging)
• Comprehensive training and ongoing coaching for the calling team
B. PERFORMANCE MONITORING: The Contractor shall produce the following written reports or take the
specified actions necessary to fu lfill this Agreement (collectively referred to as "deliverables") by the dates
indicated:
Campaign and real-time reponing of fundraising effons
All written reports required under this Agreement are to be delivered to ----,W:.-,·...:e..:.:n...:d.Ly...:R'7-'id:.:o:..:u:.:t_.,--_ _ __ __ _
the University 'S Project Manager or Principal Investigator, in accordance with the schedule above.
2. PERIOD OF PERFORMANCE This Agreement, unless earlier tem1inated according to the provisions contained
herein, shaJl cover the period of January 1, 2011 through June 30, 2011. The Agreement may be extended annuaJly
for up to 4 additional one year periods, by written murual consent of both parries.
3. COMPENSATION AND PAYMENT
A. The University agrees to pay Contractor for the Professional Services referenced above in accordance with the
rates and provisions set forth below:
$3.30 per contact
PJ 'o ",.'\ ,~iOlIU I Sen ic:e.~ C OII O'(JCllIld Al!rcc:mrl11

I k e JOO~ ~
$0.03 per record found or verified if asked to research phone numbers, with a $310.00 minimum.
NCOA research at $.0 I per record found that is 18-47 months old, with a $250 ,Or' minimum. Records which
are 48 months or older are billed at S.02 per record wIth a $400.00 mmll11Um.
Maiiing of reminder ietters at S3.70 pius actuai postage coSt (currentiy 50.44 per r tamp) per decision to do
so. This would only be done at the request ofIPR.
o If marked, 3.B and 3.C will apply to this Agreement.

B . With proper documentation provided by the Contractor, the Universiry shall also reimburse Contractor, or pay
directl y, all Universiry-authorized travel, lodging and food expenses (with the exception of alcoholic beverages),
as deemed reasonable by the University in accordance with University travel policy, not to exceed S
over the term of this Agreement. First class airline tickets may not be purchased under University policy.
C. University agrees to reimburse Contractor in accordance with the rates currently established and approved for
Iowa State University (11 tm:': \ \\V \ \ .:1[, .i :h l~lte. c dil j V i! h i"iac (:\lllntin l.; : n C W [l'~l vei DOi ic ies, i1 ll1l==nCWn1r3ir"lre" .) (Lower
maximum rates may be established by the University Project Manager or Principal Ji1vestigator.)
1. Meals while in travel status and on site in Iowa shall be reimbursed up to $;31 per day (B "" $6; L = $9;
D = $16). Alcoholic beverages are not a reimbursable expense. Tips for meaJs are allowable for no
more than 15% of the food bill and the total cost of the tip and meal may not exceed the maximum
allowed for meal reimbursement. Must submit receipts for reimbursement.
2. Lodging expenses shall be reimbursed at reasonable rates up to $75.00 plus taxes consistent with the
University's travel policy. Must submit receipts for reimbursement.
3. Mileage reimbursement, if company or personal vehicle is authorized, shalt not exceed $0.39/mile.
4. Necessary car rental, if authorized by Project Manager, shall not exceed the subcompact rate. Must
submit receipt for reimbursement.
University will only reimburse Contractor for related travel and temporary living expenses upon receipt of
a list of itemized allowable expenses. Expense reimbursement requests shall be sJbmitted within 60 days of the
date incurred. Universiry will not reimburse Conu-actor for dry cleaning, laundry, valet expenses, and charges for
enrel1ainment expenses.
Contractor agrees to be responsible for all travel and temporary living expenses inc~rred by Contractor personnel ,
which exceed rates consistent with the University travel policy or any lower maximums established by the Project
Manager or Principal Investigator.
D. Payment will be made in one of two ways . Contractor may either submit a fin~l bill upon completion of the
task(s) defined above or submit a bill at stated intervals for work completed at timeiof billing, no more frequentl y
than monthly. At its discretion, the University may hold monthly payments l.1ntil sufficient value has been
received, from its perspective, before releasing one or more monthly payment~. All bills must include the
compensation rate and the number of hour or days of service if other than fixed fe~. The University reser ves the
right to withhold ten percent (10%) from each payment until the University agrees :t he project has been completed
to its satisfaction.
Please send invoices referencing the assigned purchase order number to the following address:
Iowa State University I
Purchasing Payables
3617 Administrative Services Building
Ames, IA 50011-3617
4. CONTRACT CHANGE ORDER
/"I'OU:"'-'"/fJl1 {1J Sen 'ice.<; ConrrOl.IUO{ "H:rI:<:lIlcn f

2
f)e~' JOG] ~
A. The university, without invalidating the Agreement, may direct changes in the project within the general scope of
the Agreement, with the authorized payment maximum being adjusted accordinglY,- All such changes in the
project shall be in writing and signed by both parties.
B. The added cost or cost reduction to the University resulting from a change in the Ag;reement shall be detennined
in one or more of the following ways: '
i. by muruai acceptance of a lump sum properiy itemized and supported by sufficiept data to permit evaiuatiol1,
2. by unit prices stated in the Agreement or subsequently agreed upon ,
3. by cost to be determined in a manner agreed upon by the parties , or
4. by a murually acceptable fixed or percentage fee.
e. It shall be the responsibility of the Contractor before proceeding with any chang¢ in scope to verify that the
change has been properly authorized on behalf of the university . No additional cHarges or any other change in
the Agreement will be allowed unless previously authorized in writing by the U1 iversity, with the applicable
compensation method and maximum authorized additional sum stated.
5. PROPRIETARY RIGHTS AND CONFIDENTIAL INFORMATION
A. Contractor agrees to hold in truSt and confidence any confidential and proprietary ipfom1ation or data relating to
university business and shall not disseminate or disclose such confidential infom1ation to any individual or entity,
except Contractor's employees or subcontractors perfom1ing services hereunder (who shall be under a duty of
confidentiality), and any other individuals specifically permitted in each instance by the University.
B. With respect to any confidential information, the ContractOr's obligations of nondisclosure set forth above shall
continue to apply to such information for as long after this Agreement expires or tem1inates, as such inforn1ation
remains confidential.
C. An item will not be considered confidential information or a trade secret of the Uniyersity if it is:
I. In the public domain prior to disclosure to Contractor or subsequent to such di~closure but through no fault of
Contractor; or
2. Obtained from a third party not subject to a duty of confidentiality.
I
D. Contractor agrees that any computer programs, software, documentation, cOlPyrightable work, discoveries,
inventions, improvements, or other deliverables (hereinafter "Work") develope~ by Contractor solely, or with
others, reSUlting from the performance of Contractor's responsibilities and obligatipns pursuant to this Agreement
are the property of the University. If for any reason the Work would not be cqnsidered a work made for hire
under applicable law, for the consideration included herein, Contractor does herfbY sell, assign, and transfer to
the University, its successors and assigns, the entire right, ritle and interest in aneJi to the Work, including but not
limited to exclusive rights to reproduce, distribute, prepare derivative works, qisplay and perform the Work.
Contractor agrees to provide whatever assistance is necessary for the Univer~ity to preserve its commercial
interest including, but not limited to, the filing of patent and copyright protectioil. This provision shall survive
expiration and termination of this Agreement.
6. TERMIl\ATlON
A. The University may tenninate this Agreement, upon ten (10) days written not~fication, without penalty to the
University, should the Contractor fail to carry out its provisions or fail to prqvide services acceptable to the
University.
B.
With the murual agreement of the parties, upon receipt and acceptance of not less than fifteen (15) days written
notice, this Agreement may be terminated without penalty to either party.
c. Upon tennination or Agreement expiration, the University shall pay Contractor: all services fees and authorized
reimbursable expenses due ~ontractor for services already provided or expens9s incurred through the effective
date of Agreement tenmnatJon, prOVIded such expenses are reasonable, doc4 me nred, and represent servIces
requested by the University. Upon termination, Contractor shall turn over to the university all Work performed
to date.
f "C?lessiollal Sen'lces COIllJ"(JCIU(.lj AgrC(!melli ,.,

nee 2M}] .)
;<
purported change in the terms of this agreement, shall be binding upon either of the parties!unless in writing and signed
by authorized representatives of both.
Pr(~h';)'siOJ )ClI St:" .';Cf,;$ COIIII'octual ."t:!"(lemc", 7

1)1.:'(' ](){i;
Contractor: Please cOl1wlete this information:
.~,,-.? 'l.5tp?- :12-)1

Contractor is a: I If Contractor is a sole proprietor, is the Contractor a non- '1' / , - 'f -.._ •...1"
Sole Proprietor 0 I resident alien? Yes 0 No 0
Partnership 0 I foritractor's Tax
Corporation ~ If yes, Form 8233 must be completed and attached to this Ieentification Number
• , Agreement. This form can be obtained at
h II n : \'. ...,"\ .. ~\dp. i ~!:"\ Lc·II ('. cd U: "ph r' :It.:' ;':i...\l!!l l. i n '.2,.' (( \n~I(I '; I'")( 1;--: ") .-:: _~ . ndf
If Contractor is a sole
woprietor, the number
I Other: must be either the Social
$ecurity number of the
ipdividual or the Federal
Employer Identification
number (Tax~er l.D.) .
HAVING READ AND UNDERSTOOD THIS AGREEMENT, the parties have signed this Agreement and caused it to be
executed in duplicate, with each of the copies to be considered an original agreement. Contractor certifies that none of the
following represent paid employees of ISU or any other Regent instirution: Contractor, Contractor's spouse and ContractOr's
minor child. In addition, Contractor cenifies that no individual, their spouse or minor child, who is a paid employee of ISU or
any other Regent institution, is also a partner in Contractor's firm or owns five percent (5%) or more of Contractor ' s corporate
stock. See Section 24 herein for additional infomlation if a conflict of interest exists.
CONTRACTOR ~L} \ r_ ...u , ~ "'-.

ADDRESS: 7 7 V or, MlA77ht11i r:, )tc Z~ S
CITY, STATE, ZIP: .AS!' l/l~f ,4A'!. Y$ffiZ.jY
PHONE: ~~ !.s .
EMAIL:~phaY\iG/k;;j?i. r~
DATE:
r ,
1•/ /011
I
/ S;
"
BY:Y-#~Y\..d
// . I
D ~ I -1---.
TITLE: i
iV/C; fl# ~
(l:./
1A'
J. f.// VV'
lOWA STATE UNIVERSITY

Ames, IA 50011 \ l
DATE: ____________ BY: \, J'" \\;: 0;
;\ \ \ 'iI'
Pr"oj~'ct Ma'hag~?,
I. 1'\' 1
\i'\ \: \~n
.' f
P'dncipatilwestigator
'-
DATE: ____________ BY: \~~?tw

Depaent ChaIr
DATE: I/Ztj;!/ BY ~
Purchasing Depanment
'-""O/<:.SSlollul S"rviCI.'.r (:otllrCJCllf&J1 A£;I'(!('I/Il"nl

:Je~ ]Uf)J
8
515-281-5926
raisers as defined in Iowa Code Chapter 13e. Charitable or2anizations as defined in this
raise funds.


OF THIS FORM.
Phone Bank Systems, Inc.
place of business:
4990 North wind Drive, #235
East Lansing, MI 48823
517/332-1500
-1
3. Form of business For profit corporation
4. Identl·fy testate
h . w h·IC h
In ·
registrant . . d· d Michigan
IS organize or Incorporate _ _ _ _ _ _ __
Date organized or incorporated 12/17/82

----------------
Sarah Shaw - President - 4990 North wind Dr.,Ste. 235 East Lansing, MI 48823 517/332-1500
Rusha A wad - Vice President - 4990 North wind Dr.,Ste. 235 East Lansing, MI 48823 517/332-1500
Maureen E. Otis , Atly at Law
4850 Wright Road, Suite 168, Stafford, TX 77477 281/242-9800

raiser:
Rusha Awad - 4990 North wind Dr.,Ste. 235 East Lansing, M1 48823 517/332-1500
Sarah Shaw - 4990 Northwind Dr.,Ste. 235 East Lansing, MI 48823 517/332-1500
raiser:
Sarah Shaw - 4990 North wind Dr.,Ste. 235 East Lansing, MI 48823 517/332-1500
Rusha Awad - 4990 North wind Dr.,Ste. 235 East Lansing, MI 48823 517/332-1500
Sarah Shaw - 4990 North wind Dr.,Ste. 235 East Lansing, MI 48823 517/332-1500
Rusha Awad - 4990 North wind Dr.,Ste. 235 East Lansing, MI 48823 517/332-1500
raiser:
N/A - PBS does not have custody or controL ofthe funds raised by its
11On-proflt clients.
-2
NIA
DYes tzINo If yes, attach detailed explanation as to agency involved, date, court, claim and
NIA

See Attachment 1
DYes ~o If yes, attach a list of all other states.
DYes tzINo If yes, attach a detailed explanation.
NIA
any time?
DYes I2INo
DYes I2INo If yes, please identify the charity and the subcontractor below: (Attach a
-3
DYes DNo DAttached
will be soliciting money in or from Iowa. Attached
SIGNATURE
Date 12/Ill/LD x <~yah S/t40

Name (Print)
Py--.e,ste/tnt
nle ~2iltAA2
Signature
State of !'1 / ell/ t-jJ-,/

County of )j{/?1!1l /fI
Signed and sworn to (or affirmed) before me on J 2 ~ I b ' /0 (date) by
S/I/L/l II 1Mv<./' (names ofperson(s) making statement).
-4
(Seal)
~
.I / ....::-......_ ....... .
<-//2 -/~
My commission expires ____________
RiCMAAC >LAN. PAFAl.SO(,
NOTAR~ "..;B~C ' <:TA'l: OF MICMIGAN
COIJt-;TY OF INGt-W
My Comml$5lOt\~" May 12. 2015
-5
.,.
515-281-5926
E-mail: consumer@a~.state.ia.us
DISCLOSURE FORM

l. Name of Professional Fund-Raiser: PUBLIC SAFETY COUNCIL, LLP
IOWA STATE POLICE ASSOCIATION
A. Name:____________________________________________________ _

5045 CLEBURNE CT., PLEASANT HILL, IA 50322
515-299-5320
RICK HOST, TREASURER, SAME AS 'B', ABOVE
Page 1 of 5
3. Beginning and ending solicitation dates through _____'
ONGOING, information contained herein for calendar 2009
® No If no, attach a copy of the contract to this form.
4iiephQU) Door-to-door Electronic Media (TV, radio) Direct Mail
Pnnt media (magazines, newspapers) (Qffie!) ,.,., -..&.1 fo l/olJIJ*-i

Telephone Mail
Room I

Safety Services, LLC, 750 Transfer Rd. #20, Saint Paul, MN 55114

651-917-5300 and dedicated T-1 lines

Jarrod Bifulk-Carlson
Room 2
8. Will the so lieitation campai gn involve the sale of goods or services? Yes S
Page 2 of 5

Other (describe) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Yes@
If"No," describe how the funds will be collected._m_a_1_'l_ _ _ _ _ _ _ _ _ _ _ __
8657 Douglas Ave, PMB 381
Urbandale, IA 50322
(commercial mail service)

The UPS Store
Yes
® 501(c)6
being carried out.
Iowa State Police Association member services,
activities, programs and general fund. Public safety
related messages are communicated by sponsor program.
Page 3 of 5
".

$ 263,813.30
Sponsorships $ 263,813 . 30
(l) Total given to charitable organization $ 42, 210 . 12
Commissions $ 166,086.94 G & A Allocation $ 47,037.91
Program Suppli~~ $ 8,033.69 Fundraiser Margin (Deficit) ($ 872.31)
Mail Services $ 968.14
Travel & Misc. $ 348.81

Total $ 221,603.18
amount:
N / A
Page 4 of 5
immediately.
SIGNATURE:
State of (Y\ ~ 1\'\e 'S<dt: )
) ss.
County of Rel\feC :f\ )
I, l.6obul- ( /J.. LLlb ? being first duly sworn on oath, depose and state that I am a
~~
Subscribed and sworn to before me on a d obe, 1'1. d ol O
N~~ ft~
Page 5 of 5
.f" .r..
PROGRAM AGREEMENT
THIS AGREEMENT, made and entered into as of October 1, 2008, by and between PUBLIC
SAFETY COUNCIL, a limited liability partnership (hereinafter referred to as "PSC") and the lOW A STATE
POLICE ASSOCIA nON (hereinafter referred to as "Association"):
WHEREAS, Association desires to contract with PSC for purposes of communicating a program
service message and securing financial support from the general public (hereinafter referred to as the
"Program");
NOW, THEREFORE, in consideration of the mutual covenants and agreements herein contained, and
for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the
parties hereby agree as follows:
1. Grant of Authority to Use Association Name. Association hereby grants PSC, subject to
terms, conditions and provisions hereof, the right during the term hereof to use its name in connection with
the procurement of sponsorships and related program service campaign as described in paragraph 3(a) below.
2. Acceptance and Acknowledgment. PSC hereby accepts the foregoing grant from Association
and agrees to perform the duties and undertakings imposed by this Agreement.
3. The Program.
(a) PSC shall create, develop and arrange for implementation of the Program. Progtatn
shall consist of telephone contacts to the general public requesting participation as a sponsor of Association.
Each paid sponsor shall be provided with a brochure, decal or similar item bearing Association's name to
evidence participation in Program. Program materials, including presentations, decals, letters, brochures or
other Program supplies will not be used without the prior notification and approval of Association. PSC
acknowledges that at no time shall Association have any responsibility for any costs or expenses incurred by
PSC for Program.
(b) PSC shall perform, contract for or otherwise arrange for implementation of Program as
provided under this Agreement PSC or any per-sons or entities performing services in connection with
Program shall not for any purpose be deemed the employees of Association.
1
"
.,,,' ,..
4. Term. This Agreement and the rights granted hereunder shall be for a term commencing
October 1, 2008 and ending November 30, 2011. Thereafter, the term of this Agreement shall be
automatically extended for additional terms of three (3) years each unless either party shall give the other 120
days written notice prior to the expiration of the then current tenn of its intention not to extend the
Agreement. Any renewal and extension hereof shall be subject to the undertakings and agreements herein
provided
5. Program Revenues.
(a) All Program revenues received shall be paid to the name of Association and shall be
received by PSC. Association hereby authorizes PSC to endorse in the name and on behalf of Association
any check, money order or other remittance paid with respect to Program sponsors. All such checks, money
orders or other remittances evidencing collected Program revenues shall be deposited by PSC on a weekly
basis into a separate bank account established for this purpose and maintained by PSC (the "Project
Account") .
(b) Throughout the term of this Agreement and any renewal tenus, PSC shall pay
Association sixteen percent (16%) of gross collected Program revenues. Such payments shall be made by
PSC on a weekly basis and shall be accompanied by a report showing total collected Program revenues for
the applicable weekly period.
(c) Upon payment to Association by PSC of the amounts specified in subparagraph (b) of
this paragraph 5, PSC shall be entitled to retain and withdraw from the Project Account the balance of
collected Program revenue as compensation for all its services provided herein.
6. Representations. Duties and Obligations of Association. Association hereby makes the following
representations and agree to perform the following duties and obligations as indicated:
(a) During the term hereof, Association and its Board of Directors shall recognize, endorse
and support Program and will do nothing during the term hereof which shall have an adverse effect upon
Program.
(b) Association understands and agrees that contractors secured by PSC shall be permitted
to contact prospective sponsors in all areas throughout Iowa.
(c) During the term of this Agreement and for a period of one full year following the
effective date of any termination or expiration thereof, Association agrees that it shall not, without the prior
written consent of PSC, either directly or indirectly employ, hire or otherwise retain, for the purpose of any
2
.:
other revenue-producing process, any person, corporation or finn which shall have previously been retained
by or through PSC to contact prospective sponsors.
(d) Association understands and agrees that all records and information relating to sponsors
shall be and shall remain the sole and exclusive property ofPSC and Association shall have no claim thereto.
The ownership and exclusive right to the information in these records is a material inducement to PSC in
entering this Agreement.
7. Cancellation. This Agreement shall be canceled and terminated upon the happening of any
of the following events:
(a) Expiration of the term hereof or any renewal term.
(b) In the event PSC determines that available revenue is not sufficient to make
continuation of this activity profitable for it, PSC shall have the right to cancel and terminate this Agreement
effective ninety (90) days following delivery to Association, personally, by certified mail or by documented
overnight delivery, of written notice of such cancellation.
(c) In the event that PSC shall be in breach of any of the terms and provisions of this
Agreement and shall not take affinnative action to correct the same within thirty (30) days following receipt
from Association of written notice of such breach, Association shall thereupon have the right to cancel and
tetminate this Agreement, by majority vote of its Board of Directors, upon delivery to PSC, personally, by
certified mail or by documented overnight delivery of sixty (60) days written notice of such cancellation.
Provided, however, that no such cancellation notice shall be given unless and until PSC shall have been
given the reasonable opportunity to meet with the Board of Directors of Association to discuss arty alleged
breach.
(d) Following notice of cancellation or termination, PSC shall continue to account for and
pay Association in the manner set forth in Paragraph 5 to the extent that such sponsor revenues are ultimately
collected by PSC.
8. Miscellaneous.
(a) It is understood and agreed and that this Agreement may be assigned at any time to any
other corporation, partnership or other entity in which management remains in the hands of the present
management of PSC, provided, however, that any other assignment shall not be made without the prior
written consent of Association, which consent shall not be unreasonably withheld.
3
,'.
(b) It is agreed and understood that PSC is an independent contractor and is not in any
manner the employee of Association nor has Association any interest in the business of PSC, except to the
extent set forth in this Agreement.
(c) Reference is made to a certain Royalty and License Agreement, entered into as of
January 15, 1996, between PSC and Association, as renewed and amended by a certain Renewal and
Extension Agreement, dated as of March 17, 1999 (such agreements being hereafter collectively referred to
as the "Prior Program Agreement"). The parties agree that the Prior Program Agreement shall be deemed
tenninated effective as of the close of business September 30, 2008 and that neither party shall have any
further obligations with respect thereto. The parties further agree that all sponsorship revenue collected from
and after October 1, 2008 shall be deemed Program revenue under this Agreement and shall not constitute
sponsor revenue under the Prior Program Agreement.
(d) This Agreement shall be binding upon and inure to the benefit of the parties hereto and
their respective successors, legal representatives and assigns.
(e) This Agreement constitutes the entire agreement and understanding between the
parties with respect to the subject matter hereof, and there are no representations or warranties of any kind
except to the extent specifically set for herein.
(f) The undersigned were authorized to execute this Agreement on behalf of and as the free
act and deed of Association and of PSC and by their signatures hereon certify the grant of such authority by
Association and PSC, respectively.
IN WITNESS WHEREOF, the parties hereunto caused this Agreement to be executed as of the day
and year first above written
PUBLIC SAFETY COUNCIL IOWA STATE POLICE

ASSOCIATI~
By B~~W~
Its e(e.c.~ Its .pB.~-c~ftJ:[
Accepted at 01 v'\fre'"'t1.~~;~
t vt)ri
4
?
515-281-5926
DISCLOSURE FORM

3. Return this formes) with copies of contract(s), if applicable and the Professional Commercial
1. Name of Professional Fund-Raiser: PUBLIC SAFETY COUNCIL, LLP
file a separate Financial Infonnation Disclosure fonn for each.)
IOWA STATE RESERVE LAW OFFICERS ASSOCIATION
A. Name:________________________________________________________
PO BOX 106, MARSHALLTOWN, IA 50158
641-753-3400
DAN BRANDT, SECRETARY-TREASURER, SAME AS 'B', ABOVE
Page I of 5
3. · · an d en d'mg so1'"
Begmrung lCltatlOn d ates ONGOING th roug h _____.
financial information contained herein for calendar 2009
@ No Ifno, attach a copy of the contract to this fOnTI.
f.Gjepho;> Door-to-door Electronic Media (TV, radio) Direct Mail
Print media (magazines, newspapers) ~ mail followup
~eph~ Mail
Room I

Safety Services, LLC, 750 Transfer Rd . #20, Saint Paul, MN 55114

651-917-5300 and dedicated T-1 lines

Jarrod Bifulk-Carlson
Room 2
8. Will the solicitation campaign involve the sale of goods or services? Yes No
Page 2 of 5
Other (descri be)_:--::-----:-_:--_-::-_-:--_--:--:::---:---;-:------:-----::_--:-_:------:----::--_ _

yesCS)
If "No," describe how the funds will be collected. _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
6750 Westown Parkway #200-224
West Des Moines, IA 50266
(commercial mail service)
The UPS Store
Yes ~ SO/{G) 4
being carried out.
Iowa State Reserve Law Officers Association member services,
activities, programs and general fund.
Page 3 of 5
completed fiscal year or the previous twelve months) : 1/1/09 - 12/31/09

$ 97,265.39
Sponsorships $ 97,265.39
(1) Total given to charitable organization $ 14 , 589 . 80
Commissions $ 63,780.53 G & A Allocation $ 17,342 . 42
Program SUEElies $ 1,732.62 Fundraiser Margin (Deficit) ($ 937.99)
Mail Services ~ 753 . 01
Bond & Registration $ 5.00
Expense Total $ 82,675.59

amount:
N L A
Page 4 of 5
immediately.
SIGNATURE:
~
State of [\\ f\.(\es otz::' )
) ss.
County of {;-\e'fY'(?f )
I, eob l i t u.LlO (being first duly sworn on oath, depose and state that I am a
statement made and each answer given is true to my own knowledge .
C::522~2
Subscribed and sworn to before me on dc+b r jy. C)JIG,
.G.·"
,
, ,'
.lJ
MELODY A NAf'ltJE
Notary Public
Minnesota NO~f'; ~
~ S?m.Ti~iO!E~i,!s 1n&z.3~28J5
Page 5 of 5
..
.", ~
PROGRAM AGREEMENT
THIS AGREEMENT, made and entered into as of July 31,2002, by and between PUBLIC
SAFETY COUNCIL, LLP (hereinafter referred to as "PSC"), and the row A STATE RESERVE
LAW OFFICER'S ASSOCIA TJON, INC. (hereinafter referred to as "Association"):
WHEREAS, Association desires to contract with PSC for purposes pf communicating a
program service message and procuring Association sponsors (hereinafter referred to as the
"Program");
NOW, THEREFORE, in consideration of the mutual covenants and agreements herein
contained, and for other good and valuable consideration, the receipt and sufficiency of which is
hereby acknowledged, the parties hereby agree as follows:
1. Grant ofAuthority to Use Association Name. Association hereby grants PSC, subject
to the terms, conditions and provisions hereof, the exclusive right during the term hereof to use its
name in connection with Program including the procurement of sponsorships and related program
. .
service campatgn.
2. Acceptance and Acknowledgment. PSC hereby accepts the foregoing grant from
Association and agrees to perform the duties and undertakings imposed by this Agreement.
3. The Program.
(a) PSC shall create, develop format and arrange for implementation of the
Program. Program shall consist of telemarketing ·contacts to the general public requesting
participation as a sponsor of Association. Each paid sponsor shall be provided with a brochure,
sticker or similar item bearing Association's name to evidence participation in Program.
(b) PSC shall perform, contract for or otherwise arrange for implementation of
Program as provided under this Agreement. PSC or any persons or entities performing services in
connection with Program shall not for any purpose be deemed the agent.. or employees of
Association.
4. Term. This agreement and the rights granted hereunder shall be for a term of two (2)
years, commencing September I, 2002 and ending July 3 I, 2004. Thereafter, this Agreement shall
be automatically renewed and extended for additional terms of two (2) years each, unless either party
.-
shall give the other 120 days written notice prior to expiration of the then current term of its intention
not to renew and extend the Agreement Any renewal and extension hereof shall be subject to the
undertakings and agreements herein provided.
5. Program Revenues.
(a) All revenues from the procurement of Program sponsors shall be paid by
sponsors to the name of Association. As part of its agreement hereunder,. Association hereby
authorizes PSC to endorse in the name and on behal f of Association any check, money order or other
remittance paid with respect to Program sponsorships. PSC agrees that all such checks, money
orders or other remittances evidencing Program revenue shall be deposited by PSC directly into a
separate bank: account established for this purpose.
(b) Association shall be entitled to receive a payment from PSC in the amount
of fifteen percent (15%) of collected Program revenues. PSC agrees that such payments shall be
remitted to Association on a weekly basis. PSC shall be entitled to retain eighty-five percent (85%)
ofcollected Program revenues as compensation for its services hereunder and implementation ofthe
Program campaign.
6. Representations, Agreements and Obligations of Association. Association hereby
makes the following representations and agreements as indicated:
(a) During the term hereof, Association and its Board ofDirectors shall recognize
and endorse Program, and Association hereby grants PSC the sole and exclusive right to arrange for
contact of residences in Iowa on behalf of, or in the name of, Association. Association shall not
enter into any agreement with any individual, firm, corporation or organization during said term for
any fundraising activity that includes contact of Iowa residences on behalf of, or using the name, of
Association.
(b) Association will not nothing during the term hereof which shall have an
adverse effect upon Program and understands and agrees that contractors secured by PSC shall be
permitted to market Program in all areas throughout Iowa.
(c) Association understands and agrees that all records and infonnation relating
to sponsors shall be and shall remain the sole and exclusive property ofPSC and Association agrees
that it shall have no right or claim thereto.
(d) During the term of this Agreement and for a period of one full year following
the effective date of any termination or expiration thereof, Association agrees that it shall not,
without the prior written consent of PSC, either directly or indirectly employ, hire or otherwise
retain, for the purpose ofany other revenue producing process, any perSOll, corporation or firm which
shall have previously been retained by PSC to conduct Program hereunder.
7. Cancellation. This Agreement shall be canceled and terminated upon the happening
of any of the following events:
(a) Expiration of the term hereof or any renewal term.
(b) In the event PSC determines that available revenue is not sufficient to make
continuation of this activity profitable for it, PSC shall have the right to cancel and terminate this
Agreement effective ninety (90) days following delivery to Association, personally or by certified
mail, of written notice of such cancellation.
(c) In the event that PSC shall be in breach of any of the terms and provisions of
this Agreement and shall not take affirmative action to correct the same within thirty (30) days
following receipt from Association of written notice of such breach, Association shall thereupon
have the right to cancel and terminate this Agreement, by majority vote of its Board of Directors,
upon delivery, personally or by certified mail , of sixty (60) days written notice of such cancellation.
Provided, however, that no such cancellation notice shall be given unless and until PSC shall have
been given the rea'>onable opportunity to meet with the Board of Directors of Association to discuss
any alleged breach.
(d) Following notice ofcancellation or termination, PSC shall continue to account
for any pay Association any and all amounts in the manner set forth in paragraph 5 to the extent that
sponsorship revenues are ultimately collected by PSc.
8. Miscellaneous.
(a) It is agreed and understood that PSC is an independent contractor and is not
in any manner the employee or agent of Association nor has Association any interest in the business
of PSC, except to the extent set forth in this Agreement.
(b) It is further understood and agreed that th is Agreement may be assigned at any
time to any other corporation, partnership or other entity, in which management remains in the hands
3
.,
of the present management of PSC provided, however, that any other assignment shall not be made
\-vithout the prior written consent of Association, which consent shall not be unreasonably withheld .
(c) This Agreement constitutes the entire agreement and understanding between
the pa11ies with respect to the subject matter hereof, and there are no representations or warranties
of any kind, except to the extent specifically set forth herein.
(d) This Agreement shall be binding upon and inure to the benefit of the parties
hereto and their respective successors, legal representatives and assigns.
(e) The undersigned was duly authorized to execute this Agreement on behalf of
and as the free act and deed of Association and by his signature hereon certifies the grant of such
authority of Association.
TN WITNESS WHEREOF, the parties hereunto caused this Agreement to be executed as of
the day and year first above written .
PUBLIC SAFETY COUNCIL, LLP IOWA STATE RESERVE LAW

OFFICERS ASSOCIATION, INC.
~
Ba;> G~£,,-,. ~ By /?d!:J::-Y Z:;;k
e- ~ ~ ;t;-V'-~
Its c. Its g ~
r.a/.~,,:7=
.. - \
Date 'd - I '). - 0 h Date ??-- 2 -a;:z.
Accepted at 01, (l n He yG i i:, ill d.
515-281-5926
raisers as defined in Iowa Code Chapter 13C. Charitable oreanizations as defined in this
raise funds.

Financial Information Disclosure Form) and a registration fee of$10 made payable to State of

OF THIS FORM .
PUBLIC SAFETY COUNCIL, LLP dba Public Safety Council, PSC, Safety Associates
place of business:
13120 COUNTY ROAD 6, MINNEAPOLIS, MN 55441
763-509-0400
-1
LIMITED LIABILITY PARTNERSHIP
3. Form of business
----------------------------------------------------
4. Identify the state in which registrant is organized or incorporated MINNESOTA
Date organized or incorporated JANUARY 1, 1987

-----------------------------------------
SEE ATTACHED
ATTACHED
raiser:
ATTACHED
raiser:
ATTACHED
ATTACHED
raiser:
ATTACHED
-2
N/A
~Yes DNo If yes, attach detailed explanation as to agency involved, date, court, claim and
resolving the matter. PREVIOUSLY FILED
N/A
DYes ~o If yes, attach a list of all other states.
DYes m-.Jo If yes, attach a detailed explanation.
ATTACHED
any time?
~Yes DNo
~Yes DNo If yes, please identify the charity and the subcontractor below: (Attach a
-3
ATTACHED
BYes DNo ~Attached
SIGNATURE
Date_-----1(,....,2
t"-_ - ....:....
l _L£-=----------"-l-=-_ __
Name (Print)
G~ iJ
Signature
State of (n :1\f\8SotQ
County of he(\N?p;t\..
Signed and sworn to (or affirmed) before me on OG-~b« ''1,d OlO (date) by
2J~-t LC' IG.I\ (names ofperson(s) making statement).
-4
(Seal)
:e
'-,
MELODY-A NAI'IIf
Notary Public
MInnesota
MYCOmmissionEXPiresJanUary31,2015
~ (Sign~ P~i~<f2!va
~ I :,:") I I
. . . . , . , -:5 ,- ~
~
My commIssIon expIres _ _ _ _ _______
-5
Attachment to Application for Registration Permit as a Professional Commercial Fund-Raiser Under Iowa
Code Chapter 13C
#5 .
Partners
Telstar Communications, Inc., 13120 County Road 6, Minneapolis, MN 55441--763-509-0400
T.A.G.R. Enterprises, 12100 West Marion, #6202, Minnetonka, MN 55305
Officers
Robert T. Callan, President
13120 County Road 6, Minneapolis, MN 55441--763-509-0400
1. Michael Callan, Vice President, Secretary, Treasurer
#6.a, 6.b., 6.c.

Robert T. Callan
6d. and 6e.

1. Michael Callan
7.
• Telstar Communications, Inc . a partner of Public Safety Council, LLP, was named as a defendant in a
lawsuit commenced by the state of Wisconsin in 1990. The matter was resolved by a voluntary settlement
among the parties and a consent judgment was entered July 9, 1991, with no fmding of wrongdoing by any
of the defendants .
See also #11 .
II.
• Public Safety Council was named as a party to a civil lawsuit, along with other parties, filed by the state
of Arkansas in July 1991. In March of 1994, the Chancery Court of Pulaski County signed a Consent
Decree which vacated any and all prior orders affecting the parties. The Consent Decree resolved all
disputed claims by compromise settlement and stipulated no wrongdoing by any party. The parties agreed
to drop pending appeals in the case .
• 1. Michael Callan and Robert T. Callan were named as defendants in a proceeding commenced by the
state of Colorado in 1986. The trial court, on motion of defendants, dismissed the charges on a finding that
the Colorado charitable fraud statute was unconstitutional. The Colorado Supreme Court unanimously
affirmed the dismissal.
• Public Safety Council is currently in negotiation with the Iowa Attorney General's office concerning
alleged violations of Iowa consumer statutes.
13.
Effective November 1,20 I0
Iowa Peace Officers Association (formerly Iowa Association of Chiefs of Police and Peace Officers, Inc.
Safety Services, LLC, 13120 County Road 6, Minneapolis, MN
Iowa State Reserve Law Officers Association-

Safety Services, LLC, 13120 County Road 6, Minneapolis, MN
Iowa State Police Association, sponsor program-
Safety Services, LLC, 13120 County Road 6, Minneapolis, MN 55441
-'
CONTRACT
THIS AGREEMENT, made and entered into as of November 1, 2010 by and between
Public Safety Council, LLP (hereinafter referred to as "Client), and Safety Services, LLC
(hereinafter referred to as "Contractor"):
WHEREAS, Client desires to retain Contractor to complete a specific public awareness and
sponsor qualifying function as described herein;
NOW, THEREFORE, in consideration of the mutual covenants and agreements herein
contained, and for other good and valuable consideration, the receipt and sufficiency of which is
hereby acknowledged, the parties hereby represent and agree as follows:
1. Activities of Parties to this Agreement.
Client activities include securing, developing and managing Sponsor Program
Agreements with organizations, developing related public awareness messages, and contracting
with specialty companies to make sponsor qualifying contacts, process related data, and account
for, and report on, revenues and expenditures. Making qualifying sponsorship contacts with public
awareness messages is not a part of the regular activity of client.
Contractor's activity includes making qualifying contacts with public awareness
messages to potential sponsors. Contractor stipulates and Client acknowledges that Contractor
is available to be engaged by clients for the performance of services offered by Contractor. Neither
this Agreement nor Client limit in any fashion the engagement of Contractor by either existing or
new clients.
Contractor's location, facilities and equipment are those of Contractor's choosing.
Investment, risk of loss, development efforts, depreciation or appreciation are Contractor's. Client
shall have no responsibility or control over Contractor's facilities or operation including hours,
schedules or personnel. Contractor has complete control over the means of completing its activity.
Client shall provide no training to Contractor.
2. Contract Service to be Provided. Client desires that Contractor complete and
Contractor agrees to complete a specific function which is as follows: distribution to the general
public, by telephone, of public awareness messages relating to and about IOWA PEACE
OFFICERS ASSOCIATION (formerly The IOWA ASSOCIATION of CHIEFS of POLICE and
PEACE OFFICERS) and qualifying potential ISPA sponsors at sponsorship levels subject to
determination and variation by Contractor. Sponsorship levels are acknowledged by written
confirmations but are not binding obligations of potential sponsors. Sponsorships are not
completed until the receipt and acceptance by Client of written sponsor remittances. Contractor
represents that Contractor's business possesses the high level of skill necessary to complete said
function and that it has the initiative, judgment and foresight to be successful in completing its
activity in open market competition.
3. Independence of Parties. Contractor is and shall remain an independent contractor
and is not and shall not be deemed to be an employee, joint venturer, partner or franchisee of
Client for any purpose whatsoever. Contractor shall be exclusively responsible for the manner in
which Contractor performs its function hereunder and shall not be subject to the control of Client.
Contractor does not and will not have the power to bind Client. Contractor will not be authorized
to make representations on behalf of Client. Client will not be responsible for the acts or
representations of the Contractor. Contractor will not and cannot create a fiduciary relationship with
third parties for Client. Government legislation, agencies, regulators and/or the courts have and
will establish guidelines for Contractor actions. Contractor has no power to bind the Client by
misrepresentations, and Client does not wish Contractor to make untrue statements.
4. Terms of Payment. Client shall pay Contractor according to the following terms and
conditions: mutually agreed commissions based on collections of sponsorship revenues from
sponsors qualified by Contractor ("Regular Commissions"). Regular Commissions are not earned
by, or payable to, Contractor unless and until said sponsorships have been paid by sponsors and
received and accepted by Client. Contractor acknowledges that significant time and effort may be
expended and expenses incurred from which no commission revenue may result. Contractor
accepts this as a normal risk of loss to its operation. Commissions may be adjusted from time to
time by mutual agreement of Client and Contractor.
5. Term of Agreement. This Agreement shall be effective on November 1, 2010. The
term of this Agreement shall continue until the effective date of any cancellation or termination
pursuant to sections 14 or 15 herein below or by mutual agreement of the parties.
6. Additional Consideration. As additional consideration to Client for awarding this
contract to Contractor, during the period of this Agreement and for one year thereafter, whether
terminated by either party or by mutual consent, Contractor (including any officer or owner thereof)
and any successor or assign shall not directly or indirectly, either as principal, agent, employee,
officer, stockholder, or in any other capacity, engage or have any financial interest or any activity
connected in any fashion with IOWA PEACE OFFICERS ASSOCIATION without first obtaining
prior written consent of Client. It is specifically agreed that for a period of one year, the provisions
of this paragraph shall survive the termination or expiration of this Agreement. In furtherance of
and not in limitation of the foregoing, it is expressly agreed that, should the duration, geographical
extent, or activities covered by this non-competition agreement be in excess of that which is valid
or enforceable under applicable law, such provision shall be construed to cover only that duration,
geographical extent or activities that may be enforceably covered.
7. Confidentiality Contractor shall carefully guard and keep secret all information
which shall or may concern the business and affairs of Client (including without limitation, leads,
list of contributors or sponsors, company financial information, business plans, and Client
procedures and policies) acquired, developed or to which Contractor has access in connection with
this Contract and Contractor shall at no time, either while under Contract with Client or after
termination of contract(s) with Client, directly or indirectly disclose any such information or provide
such material to any person or entity, unless Contractor shall first secure Client's written consent
8. Contractor's Expenses. Client shall not be liable to Contractor for any expenses
paid or incurred by Contractor. Contractor is independent of Client. Contractor is not an employee
of Client. None of Contractor's expenses are to be paid by Client. These expenses include but are
not limited to the cost of insurance, travel, office, telephone, personnel and taxes, whether federal,
state or local. Contractor is solely responsible for these and all other expenses of Contractor.
9. EqUipment. Tools and Supplies. Contractor shall supply, at Contractor's sole
expense, all equipment, tools, materials and/or supplies to accomplish the contract service to be
provided Client. Contractor shall be solely responsible for any maintenance or repairs to
Contractor's equipment. Because of the third party influences of government regulations and
agency review of sponsorships generated in the name of public safety associations, it is necessary
that sponsor confirmations, promotional materials, letters or information and other related items be
provided by Client in order to be assured of proper content and form. Regulation and scrutiny by
local, state and federal government agencies further necessitate the addition of Guidelines
Concerning Public Awareness and Sponsorship Campaigns to Contractor's practices.
10. Notice to Contractor Regarding Tax Duties and Liabilities. Contractor understands
that Contractor is responsible to pay, according to law, Contractor's income taxes. Contractor
further understands that Contractor is liable for social security tax, to be paid by Contractor
according to law. Neither federal, state nor local income tax, nor payroll tax of any kind, shall be
withheld or paid by Client on behalf of Contractor, its contractors or its employees. Neither
Contractor nor individuals retained by Contractor shall be classified or considered employees of
Client with respect to services provided hereunder or for federal or state tax purposes.
11. Worker's Compensation. No worker's compensation insurance shall be obtained

by Client concerning Contractor and/or individuals retained by Contractor. Contractor shall comply
with any worker's compensation laws concerning Contractor and/or individuals retained by
Contractor.
12. Laws and Regulations. Contractor shall conform to all applicable laws and
regulations in performing its obligations in accordance with the terms of this Agreement.
13. Fringe Benefits. Because Contractor is independent, Contractor is not eligible for,
and shall not participate in, any pension, health or other fringe benefit plan of Client.
14. Cancellation Without Cause. Without cause, either party may cancel this
Agreement after giving 3D days written notice to the other of intent to cancel without cause. The
parties shall deal with each other in good faith during the 3D-day period after any notice of intent
to cancel without cause has been given.
15. Cancellation With Cause. With reasonable cause, either party may cancel this
Agreement effective immediately upon the giving of written notice of cancellation for cause.
Reasonable cause shall include:
(a) Breach of this Agreement; or
(b) An act by either party which exposes the other party to civil or criminal
liability or which prohibits, restricts or seriously impedes the other's activity;
or
(c) If a writ of attachment or execution is levied on this contract, or any
commissions payable hereunder, or on any of Contractor's property or bank
accounts; or
(d) If Contractor files a voluntary petition for relief or if a petition against
Contractor in a proceeding under the federal bankruptcy laws is filed and not
withdrawn within forty-five (45) days thereafter.
16. Declaration by Contractor. Contractor declares that Contractor will comply with all
federal, state and local laws regarding permits and licenses that may be required to carry out the
work to be performed under this Agreement.
17. No Authority to Bind Client. Contractor has no authority to enter into contracts or
agreements on behalf of Client. This Agreement does not create a partnership between the parties
18. Assignability. This Agreement may be assigned, in whole or in part, by either party.
The assigning party shall provide written notice to the other promptly before any such assignment.
19. Non-Waiver. The failure of either party to exercise any of its rights under this
Agreement for a breach thereof shall not be deemed to be a waiver of such rights or a waiver of
rights relating to any subsequent breach.
20. Severability. If any part of this Agreement shall be held unenforceable, the rest of
this Agreement will nevertheless remain in full force and effect.
21. Choice of Law. Any dispute under this Agreement or related to this Agreement shall
be decided in accordance with the laws of the State of Minnesota.
22. Addresses and Contractor's Federal Identification Number.

Client: Public Safety Council, LLP
Address: 13120 County Road 6
City, State, Zip: Minneapolis, MN 55441
Telephone: (763) 509-0400
Contractor: Safety Services, LLC.
Name of Officer or Owner: Robert T. Callan
Address: 750 Transfer Road, #20
City, State, Zip: St. Paul, MN 55114
Telephone: (763) 550-9200
Contractor's Federal Identification Number ("FIN"): 20-3152666
(If FIN not provided above, then owner's social security number: )
23. How Notices Shall be given. Any notice given in connection with this Agreement
shall be given in writing and shall be deemed delivered when received, if hand delivered, or sent
by telefax, or two (2) days after depositing, if placed in the U.S. mail for delivery by first class mail,
postage prepaid and addressed to the parties at the addresses set forth hereinabove. Any party
may change its address stated herein by giving notice of the change in accordance with this
paragraph
24. Acknowledgment. Contractor and Client acknowledge understanding of, and

agreement with, the terms and provisions of this contract and further acknowledge receipt of a fully
executed copy of same.
Safety Services. LLC Public Safety Council. LLP

Contractor Client
Robert T. Callan J . Michael Cgllan

By
President Vice Pre.s.ident

Title
Signature
Minneapolis. MN
Accepted at
GUIDELINES CONCERNING PUBLIC AWARENESS
AND SPONSORSHIP CAMPAIGNS
A. Contractor who contacts any individual for purposes of public awareness and sponsorship shall:
(1) Clearly identify the sponsoring organization in whose name the contact is being made;
(2) Accurately describe the sponsoring organization and complete the public awareness message;
(3) Advise the individual contacted that an additional purpose of the contact is to seek sponsorship
commitments in the name of the sponsoring organization and in close proximity to that request,
advise the individual that sponsorships are not tax deductible.
(4) Provide complete and accurate information in response to all questions or inquiries of prospective
sponsors. Information to be disclosed shall include, if requested, an information source for the
amount or percentage of the sponsorship to be received or ultimately retained by the sponsoring
organization if requested .
(5) Include in each presentation any oral disclosures which are required by applicable state law.
B. A Contractor who contacts an individual for purposes of public awareness and sponsorship shall not under
any circumstances:
(1) Represent, either directly or indirectly, that the contractor is a member of the sponsoring
organization if such is not the fact;
(2) Represent, either directly or indirectly, that the contractor is a law enforcement officer, fire fighter,
or veteran if such is not the fact;
(3) Represent, either directly or indirectly, that the individual has been a sponsor on a prior occasion if
such is not the fact;
(4) Represent, either directly or indirectly, that the sponsoring organization is endorsed or otherwise
supported by local police or fire officials if such is not the fact;
(5) Represent, either directly or indirectly, that the proceeds from sponsorships will be used for
purposes other than funding the sponsorship effort, the organization s general fund, member
services and any specific, ongoing programs or activities of the sponsoring organization;
(6) Represent, either directly or indirectly, that a sponsor will obtain any special privileges from
members of the sponsoring organization by reason of the sponsorship commitment.
(7) Send to the individual or request that a third party send to the individual a sponsor confirmation
order or statement for same unless the individual has clearly and unequivocally expressed his
agreement to provide said sponsorship.
C. In addition to the foregoing, all Contractors completing campaigns by telephone are prohibited from
engaging in any of the following practices:
(1) Representing that the telephone call is originating from within an individual s state if such is not
the fact;
(2) Representing that the telephone call is originating from a local police or fire department if such is
not the fact.
CONTRACTOR HAS READ AND FULLY UNDERSTANDS THE FOREGOING GUIDELINES AND HEREBY
ACCEPTS THEM IN ALL RESPECTS. CONTRACTOR ACKNOWLEDGES THAT THESE GUIDELINES DO NOT
CONSTITUTE CONTROL OVER CONTRACTOR S BUSINESS OR BUSINESS ACTIVITIES BUT RATHER ARE
MANDATED BY THE THIRD PARTY INTERESTS OF GOVERNMENT REGULATIONS AND AGENCIES RELATING
TO PUBLIC AWARENESS AND SPONSORSHIP CAMPAIGNS. CONTRACTOR WILL PROVIDE THESE
GUIDELINES TO EACH REPRESENTATIVE AND WILL OBTAIN EACH REPRESENTATIVE'S
ACKNOWLEDGMENT AND ACCEPTANCE OF THESE GUIDELINES.
Safety Services, LLC

Contractor
(~~ 're
Robert T. Callan January 1, 2009

Officer or Owner Date
President
Title
SPECIAL OLYMPICS IOWA

Client number is 15080.
CONSUMER DONOR SCRIPT
#11-6116
2011 Year
***If it is bolded and underlined—slow down and say with passion***

(Set your tone by sounding polite and professional and enunciating each word)(make sure to include all
state specific disclosures)
Hello Mr/Mrs _________! This is (YOUR NAME) and I am with Medallion
Productions. We do the professional fundraising on behalf of Special Olympics
IOWA. THANK YOU for your support to the program. Thanks to people like you
supporting, Special Olympics Iowa was able to help nearly 11,000 athletes compete
throughout the state in sports like skiing, basketball, track and more.
\
(You are describing the program here so you will want to speed your pace a little bit and sound genuinely
excited about the program so that the customer will listen and become excited as well)
I’m sure you are busy so I’ll be brief. As you know, your support still helps Special
Olympics make these games possible by providing things such as equipment, training ,
public awareness, education materials at no charge to these athletes. It is important to
note that Special Olympics offers each eligible person the chance to compete.
(Slow your pace and lower your voice tone to convey the needs and situation of Special Olympics and
create a responsibility to help the athletes with the customer)
Right now the athletes are preparing for the (state upcoming event and location
If you know someone that would like to volunteer or an individual eligible to participate
please call (515) 986-5520.
Unfortunately…. Special Olympics Iowa receives very little governmental
funding…. So, it is only through the continued support from individuals like you that
make these games possible.
(Your pace and tone should become professional and business like at this point. You are giving the
customer the choices of gift amounts. Remember it isn’t WILL the customer give it is WHICH ONE would
they prefer)
Like always there are several levels so that everyone can help. We start with the
Gold at (3 X Most Recent Gift) dollars, silver is (2 X Most Recent Gift) and the bronze is
(1.5 X Most Recent Gift). Please remember that for so long society has focused on
what the handicapped can not do, Special Olympics turns that around and focuses
on what they can do. Mr. /Ms. I always like to ask on behalf of the athletes if there is
anyway we could encourage you to help with the gold or silver this year??…pause, wait
customer response then, if no or hesitation by the donor then go into…or would the
Bronze be better for you?
VERIFICATION
YES- What credit or debit card would you like to process that gift by?
(Special Olympics Iowa offers Visa & MasterCard)
YES TO CREDIT CARD:
Great! Please run over your mailing address so that we make sure the receipt gets to you.
And what is your e-mail address? My billing coordinator will get that credit card
information from you and thank you again for your support.
GIVE IMMEDIATELY TO MANAGER TO GET INFORMATION
NO TO CREDIT CARD:
The reason we ask is because it cuts down on printing and postage and more importantly
the athletes get to benefit from your support right away. We still send you the receipt so
that you know Special Olympics has received your support. So, could we encourage you
to support by credit card today?
YES TO CREDIT CARD:
Great! Please run over your mailing address so that we make sure the receipt gets to you.
And what is your e-mail address? My billing coordinator will get that credit card
information from you and thank you again for your support.
GIVE IMMEDIATELY TO MANAGER TO GET INFORMATION
NO TO CREDIT CARD:
In order to save more money for the program, what is your email address so that we can
send your bill to you that way? (Remember to get correct spellings and remember that
email addresses are case sensitive)
YES TO EMAIL:
1. And what is your correct mailing address in case we have trouble sending you an
email?
2. What is your complete name so that we can print it correctly on the mailing?
3. You did feel comfortable committing to the SIZE for PRICE, is that correct?
Great, that email invoice will reach you in about 24 hours and we just ask you to send
your gift back 7-10 days after you receive it. Thank you very much for your support with
Special Olympics. Real quickly, I need to put my manager on the line to verify this
information. Here's Manager Name.
NO TO EMAIL:
We can process your gift by mail. I just need to get some information from you.
1. What is the correct billing address you would like that sent to including the PO Box or
apartment number?
2. What is your complete name so that we can print it correctly on the mailing?
3. You did feel comfortable committing to the SIZE for PRICE, is that correct?
4. Great, that bill will reach you in 3-5 days and we just ask you to work that back 7-10
days after you receive it. Thank you very much for your support with Special Olympics.
Real quickly, I need to put my manager on the line to verify this information. Here's
Manager Name.
515-281-5926
DISCLOSURE FORM
ORGAl'1IZATION THAT RECEIVES FUNDS SOLICITED IN OR FROM IOWA

1. Name of Professional Fund-Raiser: The Heritage Company, Inc.
State of Iowa during this registration period. (If more than One charitable organization,
file a separate Financial Infonnation Disclosure fonn for each.)
A. Name: Enlisted Association National Guard of Iowa
Camp Dodge, 7700 N.W. Beaver Drive
f
r .
Johnston, IA 50131-1902

rl .
-, ~
>.1
c. Name, title, address and telephone number of the contact person(s) for thecS f\
-.:: .' ..
Jet-.(. 6-~( 1 P{(!~l).;Jl " ,Pc) l:x)K ~()81 t~r..( ,J1+ 52/.) it, _s~ .::::::
..
5-/:)- tI-.3.2-.) IJl
\...} I
--'
Page 1 of 5
3. Beginning and ending solicitation dates ~ through 6j.31!;<t?1/

Ge~o Ifno, attach a copy of the contract to this fonn.

TeJePhon1~Eoor-~0-door-Electr~edip...O;'V, radic[Joirect MaiO

Pnnt med agazmes, nJ-wsPapersu-'theru
Tele phon@1 ai O
Room I


Please refer to attached list of Phone Room Directors .
Room 2
8. Will the solicitation campaign involve the sale of goods or services? YeDolXI
Page 2 of 5
Oth er (descri be )-,......."...---:--:----~-__::_-___:__o:_____:_____:_-__::____:_-__:____:_-___:__:__:_---

YeffiorJ
If "No," describe how the funds will be collected. _ _ _ _ _ _ _ _ _ _ _ _ _ __
bank ofthe professional fund-raiser or the address of a charitable organization; (2) the
Po DOt. CfJl(
Di.lJ\J{ (\ pud ',}of\ 5).~) _ovI ole(
identity ofthe individual or entity responsible for collecting mail containing contributions.
(\\ervJ..a ~ (e 0 (Mt"-
~
Professional fund-raiseBharitable OrganizatioOoth or eitherD
Neither (please explain) D
12 . State whether contributions to the charitable organization are tax deductible:
Yes IS] NoD

being carried out.
Page 3 of 5

get Atr~.fI/vl&J7
(1) Total given to charitable organization _ _ _ _ _ _ _ __
amount:
Page 4 of 5
immediately.
SIGNATURE:
)
) ss.
County of -------'----= )
I, -:;-:;t /1 (~ b "0 <1 ..../___ , being first duly sworn on oath, depose and state that I am a
~ (?~~~
Subscribed and sworn to before me on D~ 3 ~ :200 9 ,
:\,\\,,\1 111111'",,,
-§
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Page 5 of 5
LIST OF PHONE ROOM MANAGERS
John C. Braune
19220 Kanis Road
Little Rock AR 72211
The Heritage Company, Inc.
PHONE ROOM LOCA TIONS
2402 Wildwood Avenue

Sherwood AR 72120
Phone Room Telephone Numbers

501-835-5000
Printed: 04/02/2008
CAMPAIGN FINANCIAL REPORT
THE HERITAGE COMPANY

(Name of Professional Solicitor) (Registration Number)
ENLISTED ASSOCIATION NATIONAL GUARD OF IOWA

(Name of Charitable Organization or Sponsor)
For the period beginning 06/01/07 through 05/31/08
GROSS REVENUE 57,270.00
EXPENSES
SALARIES, WAGES, COMMISSIONS 14,957.88
PROMOTIONAL FEES 2,015.12
POSTAGE 811.46
TELEPHONE 11,103.45
RENT 4,273.68
SUPPLIES 459 .83
LICENSES, PERMITS 757 .36
ADVERTISING 946.70
ACCOUNTING/DATA PROCESSING 5,328.57
LIST PREPARATION 419.25
OTHER:
TOTAL EXPENSES 41,073.30 71.72%
Net Proceeds 16,196.70 28.28%
Amount Retained by Charitable Organization or Sponsor 10,455.21 18.26%

(includes $3,955.21 estimated printing fees)
Percentage of Funds Received by Charitable Organization or Sponsor 18.26%

(Amount Retained by the Charitable Organization or Sponsor divided
by Gross Revenue)
Net Income/Loss (-) to THC 5,741.49 10.03%

(pending ongoing collections & reconciliations)
10/29/2008
AGREEMENT
between
dba
GUARDIAN PUBLISHERS
And
ENLISTED ASSOCIATION NATIONAL GUARD OF IOWA
For and in consideration of the mutual promises and mutual benefits derived by the parties hereto, this
Agreement is made and entered into by and between THE HERITAGE COMPANY, dba GUARDIAN
PUBLISHERS, 2402 Wildwood Avenue, Suite 500 Sherwood, Arkansas 72120, hereinafter referred to as
Guardian and the ENLISTED ASSOCIATION NATIONAL GUARD OF IOWA, P. O. Box 608, Boone, IA
50036, hereinafter referred to as EANGI. This Agreement shall extend for a period of three (3) years from
June 1, 2008 to May 31, 2011 for the production of the 2009, 2010and 2011 conference programs. This
Agreement shall bind the parties hereto and their successors and assigns and is subject to final approval
by Guardian Publishers Corporate headquarters in Sherwood, Arkansas. It is expressly understood by
EANGI that a part of the consideration for this agreement is the expectation by EANGI that this agreement
will continue for the full term.
I. PURPOSE
Guardian will: 1; Conduct a statewide Public awareness and advertising sales campaign
on behalf of EANGI by telephone and by direct mail. 2; Guardian and its representatives
will conduct all business operations ethically and in a businesslike manner, creating public
awareness, support and production of a conference publication. 3; Produce EANGI a
high quality publication for distribution at the 2009,2010 and 2011 conferences. In return,
EANGI will acknowledge supporters in the conference book.
II. PUBLIC AWARENESS/ADVERTISING SALES CAMPAIGN

A. Guardian will contact by telephone, businesses, professionals and residences in the
state on behalf of EANGI. Guardian representatives will mail additional information to
interested parties about EANGI and will refer parties to EANGI representatives in their
state or local area. Guardian representatives will define EANGI, explain its
objectives, and encourage support on the local, area and state levels. Each call will
be structured to accomplish the following:
1. Enhance the image of the ENLISTED ASSOCIATION NATIONAL GUARD
OF IOWA
2. Promote increased public awareness of the goals and objectives of EANGI
3. Refer prospective volunteers and or members to EANGI
4. Accept, if offered, merchandise, services or volunteers on behalf of EANGI
5. Raise funds for EANGI.
Agreement
Page 2
B. Guardian representatives will offer advertising space in the conference program book
to the businesses and professionals contacted . Guardian agrees to provide all
advertisers with a letter of appreciation from EANGI , and a sales confirmation slip .
Guardian will not accept for publication advertisements that are in conflict with the
principles of the EANGI. Advertisements must in all cases reflect acceptable
standards of good taste.
III. IMPLEMENTATION AND APPROVALS

Guardian will work with EANGI to obtain information necessary for Guardian to prepare
the scripts and materials required to instruct Guardian's telephone representatives
regarding the goals and services of EANGI so that the callers may provide information
and respond to basic questions regarding EANGI in conducting the public awareness and
fundraising campaigns.
EANGI agrees to complete a Guardian client questionnaire to provide all current and
updated information as well as provide EANGI newsletters, articles and add itional
literature three months prior to the campaign date.
Guardian will submit all material and scripts to EANGI for its written approval before use
in any campaign. EANGI will not unreasonably withhold approval or a change to scripts
and written materials and will respond in writing within ten (10) business days after receipt
by EANGI. EANGI agrees that a lack of response in this specified time frame will warrant
acceptance and approval of the script and all materials.
Guardian may make minor changes in scripts and printed materials during the course of
the campaign without the prior approval of EANGI for the purposes of improving the clarity
and effectiveness of such communication. Minor changes shall be deemed to be a
change in punctuation or word usage that does not materially affect the meaning of the
sentence.
Guardian recognizes the importance of EANGl's public awareness message and agrees
to require its telephone representatives to adhere closely to the approved scripts .
Guardian agrees to take prompt corrective action whenever it becomes aware that one of
its representatives is not adhering to the approved script.
EANGI agrees to notify in writing state and local representatives of the campaign so they
will be well informed as to the campaign and when it begins. EANGI agrees to furnish
Guardian with names of two persons in their Association, which Guardian may use as
referrals if questioned
Agreement
Page 3
IV. PUBLICATION QUANTITY, QUALITY AND CONTENTS

A. PRINTED PUBLICATION
Guardian will provide the following services to facilitate the completion of a high
quality printed program: 1) program coordinator, specifically assigned to EANGI, to
work with a designated representative from EANGI, to assist in compiling program
material ; 2) editorial assistance, when needed; 3) layout, design and creative art
services; 4) assistance in proofing; 5) printing and bindery; and 6) delivery to a
location deSignated by the EANGI.
B. QUANTITY, QUALITY AND DELIVERY
Guardian will furnish EANGI up to one thousand five hundred (1500) copies of a high
quality publication, 5 1/2" x 8 1/2", printed on 60 pound uncoated offset stock or
substitute of same quality. Guardian will deliver the publications on or before one
week prior to the scheduled event date, to a location designated by EANGI. Guardian
shall not be liable for damages of forfeiture of this agreement by reason of delay due
to strikes , the elements, the inability of manufacturers to deliver materials and other
causes beyond Guardian's control.
EANGI agrees to distribute publications . Additional copies may be purchased the
prevailing market price.
C. PUBLICATION CONTENTS
1. EditOrial Content
EANGI agrees to furnish Guardian up to 20 pages of editorial copy no later
than 60 days before the delivery date requested by EANGI. Additional
editorial pages may be added by written agreement between Guardian and
EANGI at a price agreed upon between Guardian and EANGI annually.
2. Late Copy
In the event any editorial copy is turned into Guardian past the agreed
deadline, EANGI agrees to pay Guardian for any additional late charges
incurred as a result of the delay at a rate of $100.00 per day.
3. Proofs and Bluelines
a) Guardian agrees to furnish proofs of the editorial pages as soon as
possible after receipt of the materials. Guardian will also provide ripped
proofs of the complete publication for approval by EANGI before final
production begins. All changes and corrections shall be made on the
proofs. Bluelines will only be for proper picture and page placement.
There will be a $30.00 charge per page for blueline changes, when
changes are necessitated by EANGI.
b) Guardian will return all photographs and other editorial copy to EANGI at
the completion of production . All other materials used to conduct
advertising sales and to produce the printed program book shall remain
the property of Guardian.
Agreement
Page 4
V. DATABASE/DONOR LIST
EANGI acknowledges that Guardian maintains a proprietary master composite file
containing the name, address and other information of those individuals and businesses
who have or may contribute to charitable non-profit organizations. Information regarding
contributors as well as information pertaining to contributions made to any organization is
included in this master file for the mutual benefit to all organizations. EANGI
acknowledges that Guardian may use the master file in its performance of telemarketing
services for other clients.
VI. PUBLICATION OF SUBSEQUENT PROGRAMS

Part of the consideration for Guardian 's undertaking in this agreement is that EANGI
grants Guardian the option to publish any subsequent program , subject to terms agreed
to by EANGI.
Should another publisher offer a proposal which would net EANGI more money than
offered by Guardian, EANGI hereby agrees to allow Guardian the right to meet the offer.
VII . LAWS AND REGULATION

EANGI agrees to provide Guardian with evidence of EANGI's tax-exempt status, federal
identification number, to comply with and pay all fees and charges relative to Federal ,
State and Municipal laws and regulations, especially those laws and regulations pertaining
to registration by charitable non-profit organizations prior to solicitations.
Guardian agrees to obtain all licenses and permits with respect to professional
fundraising to be performed hereunder and to pay all fees and cost in connection
therewith. In addition, Guardian shall , as part of its expense, assume and pay all taxes
that may be charged or assessed upon the pay of its employees and the sale or use of
materials used by Guardian , unless such materials are furnished by EANGI.
VIII. GUARANTEE TO EANGI

A Guardian agrees to remit to EANGI a cash guarantee of Six Thousand Five Hundred
dollars ($6 ,500 .00) for 2009 , 2010 and 2011 .
B. The guarantee will be sent to EANGI on or before March 31 st of each year.
C. Any late charges under Section IV, Paragraph C, item 2 above will be deducted from
such guarantees. If Agreement is cancelled by EANGI without cause, any amount of
guarantee not paid to EANGI shall be considered liquidated damages.
Agreement
Page 5
IX. CANCELLATION/BREACH/ARBITRATION
Either party may terminate this Agreement with a thirty day (30) written notice to be
received under certified receipt requested mail. In the event that EANGI should cancel
this Agreement without cause, Guardian will be allowed to continue collection efforts by
sending twelve reminder statements to recover any monies owed to Guardian as a result
of any advanced campaign costs or unpaid telemarketing costs.
In addition thereto, either party shall have the nght to terminate this Agreement on thirty
(30) days written notice to the other, only as the result of a material breach of any term or
condition set forth in this Agreement, which is not cured within time period set forth under
following circumstances
A. The injured party will provide a written statement to the breaching party, specifically
describing the nature of the alleged default or breach, and what affirmative steps
must be taken to cure same. If the breaching party takes the steps required to effect
said cure within fifteen (15) days of the notice, then the default or breach shall be
deemed cured, provided such default or breach is actually cured within thirty (30)
days of such notice.
B. If either party gives notice of alleged breach or default and disputes that a cure has
been commenced within the fifteen (15) day period, or has been cured with the thirty
(30) days period, then in that event, the parties shall submit this matter to binding
arbitration in accordance with the rules of the American Arbitration Association . The
sites of the arbitration shall be Little Rock, AR, or such other location as may be
mutually agreed upon. The arbitrator shall be given the right to assess costs as
he/she may so determine, and the parties further agree that the decision of the
arbitrator shall be binding and final, and entitled to the full force and effect as if
rendered by a court of competent jurisdiction. The right to grant costs shall expressly
include the right to grant the prevailing party a reasonable attorney fee
It is the express understanding of the parties herein , that all disputes which cannot be
resolved between them, arising from or pertaining to this Agreement, shall be
submitted to binding arbitration.
X COLLECTION OF RECEIPTS
EANGI agrees that all proceeds from the sale of advertisements for the publication shall
be mailed to P.O. Box924,Davenport,IA 52805 held in the name of EANGI. EANGI
agrees that the postmaster will be authorized to send all mail received at this post office
box, express mail twice a week to Heritage Corporate Headquarters in Sherwood,
Arkansas.
Agreement
Page 6
EANGI acknowledges and agrees that Guardian will receive, process, and deposit
payments in the name of EANGI. All funds received shall be deposited with Metropolitan
National Bank, Little Rock, Arkansas in Account Number 67903 By these premises,
EANGI deSignates Guardian as its agent to receive, process, and deposit payments to the
Account. EANGI agrees to indemnify the Bank against, and to hold the Bank harmless
from all losses, damages, costs and expenses, incurred by EANGI with respect to any
deposit of funds to the Account.
In the event of natural disaster, substantial economic down turn, or other incident or
occurrence outside the control of either of the parties hereto, or if there shall be a
substantial change in the economic situation, the amounts and schedules shall be
readjusted by mutual agreement of the parties hereto. In the event that a mutual
agreement cannot be reached by the parties as to any proposed adjustments, the parties
agree to submit the matter for determination to binding arbitration.
XI. INDEMNIFICATION
A. By Guardian. Guardian agrees to hold harmless and indemnify EANGI from and
against any and all costs, expenses, claims, actions, causes of action, damages,
judgments, demands, suits and liability including, without limitation, reasonable
attorney's fees and costs, arising out of, under or relating to, directly or indirectly, the
services, business or conduct at Guardian or its employees or agents in connection
with this Agreement, including, but not limited to any suits, actions, causes of action,
damages, judgments, demands or claims made by vendors, suppliers or creditors of
Guardian, or made by any person alleging harassment or invasion of privacy, or
resulting directly or indirectly from any misrepresentation or breach of warranty by
Guardian contained in this Agreement.
B. By EANGI. EANGI agrees to hold harmless and indemnifying Guardian from any and
all costs, expenses, claims, actions, causes of action, damages, judgments,
demands, suits and liability, including, without limitation reasonable attorney's fees
and costs, arising out of, under or relating to, directly or indirectly, the loss by EANGI
of federal tax-exempt status, or the inaccuracy of any written information provided by
EANGI to Guardian pursuant to this Agreement, including, but not limited to, copyright
infringement or claims that such information is libelous or slanderous, or resulting
directly or indirectly from any misrepresentation or breach of warranty by EANGI
contained in this Agreement.
Agreement
Page 7
XII. RENEWAL OPTION

This agreement shall automatically be extended for one (1) additional year unless either
party shall give notice of its intention to allow the contract to terminate not less than ninety
(90) days prior to their expected date of the primary term.
XIII. NOTICES
There may be no modification of this agreement except in writing and sent certified return
requested enacted with the same formality as this Agreement and sent to:
Marilyn Michie
Vice President
The Heritage Company
2402 Wildwood Avenue, Suite 500
ShenNood, Arkansas 72120
Guardian will act as an Independent Contractor and will hold EANGI harmless from any liability
which might arise as a result of any violation of law, Federal, State, or Local, or any misdealings
incurred by Guardian .
The waiving of anyone or more of the covenants herein contained shall be limited to the particular
instance and shall not be deemed a waiver of any other breaches of covenants .
Other than the foregoing, failure by either party to comply with any and all terms, conditions and
deadlines contained herein shall constitute a breach . The other party shall be required to notify
the breaching party within ten days of a breach. The breaching party must act within thirty days to
correct the breach or failing to act, this Agreement will be considered null and void.
IN WITNESS WHEREOF, the parties hereunder set their hand and seal, with the date of
execution by Organization specified to be the day and year first above written, and by GUARDIAN
PUBLISHERS on the date set forth below.
APPROVED:
THE HERITAGE COMPANY, dba ENLISTED ASSOCIATION
GUAR~N PUBLISHERS NATI~L GUARD OF IOWA
/ /);1 /' /}-. l)A ,D/?
BY: BY:
JAIJ 69
ENLISTED ASSOCIATION
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COPILEVITZ & CANTER, LLC
ATTORNEY S AT LAW
310 W. 20TH STREET
SUITE 300
KANSAS CTTY, MISSOURI 64108
(816) 472-9000 • FAX (816) 472-5000
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November 7, 2008 -
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Ms_ Helen Alessio c: 1"
Hoover Building
Des Monies, LA 50319
Re: The Heritage Company, Inc_ / Enlisted Association National Guard of Iowa
Dear Ms. Alessio:
The above referenced organization is a £rofessional fund raiser currently r egistered with
your office. The Heritage Company, Inc. has recently entered into a contract with the above
referenced charitable organization. They have ashed that I forward this contract to yo u.
pleas e mahe this contract a part of the registration file for The H eritage Company, Inc.
Thanl~ you for your attention to this matter. Please feel free to contact me should you have
any questions regarding this matter.
Very truly yours,
:rITlW
Enclosure
rose@cclzc-law.coIn
Washinglon DC Office: 1900 L STREET, SUITE 2 15. WASHINGTON, D.C . 20036 • (202) 861·0740 • FAX (202) 331-9841 • E-MAlL copcandc @aol.com
515-281-5926
DISCLOSURE FORM

l. Name of Professional Fund-Raiser: The Heritage Company, Inc.
State ofIowa during this registration period. (If more than one charitable organization,
A. Name: Special Olympics Iowa
P.O. Box 620
Grimes, IA 50111
c. Name, title, address and telephone number of the contact person(s) for the
ilia NoIJ 3., ' 0Hd H]4/nSNO::
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Page I of 5
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3. Beginning and ending solicitation dates ~ through 12/31/2011 .
Dve~o Ifno, attach a copy of the contract to this form.
Te.lePhon~~~oor-~o-doorE:lectr?~ Medi~V, radic{[]oirect MaiO
Pnnt med agazmes, newspapersUOtheru
Telephon~ailD
Room 1
a. Address of telephone room (Include street, city and state): _ _ _ _ _ _ _ _ _ _ __


Room 2
a. Address of telephone room (Include street, city and state): _ _ _ _ _ _ _ _ _ _ __
8. Will the solicitation campaign involve the sale of goods or services? Yeo-0lxl
Page 2 of 5

Other (describe) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
YeOolZ]
If "No," describe how the funds will be collected. f\t~ c.. L.J --6 f () IS" 1
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Neither (please explain) D
Yes~ NoD
being carried out.
Page 3 of 5

any manner on behalf of the charitable organization :
(1) Total given to charitable organization _ _ _ _ _ _ _ __
amount:
Page 4 of 5
immediately.
SIGNATURE:
State of M4\(\SlJ) )
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County of 0V\..lt< ~\t-; )
I, JC)~f\C, t)(CllA""- , being first duly sworn on oath, depose and state that I am a
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PHONE ROOM LOCATIONS
2402 Wildwood Avenue

Sherwood, AR 72120
501-835-5000
Phone Room Telephone Numbers
Printed : 11/01/2010
CAMPAIGN FINANCIAL REPORT

(Name of Professional Solicitor) (Registration Number)
SPECIAL OLYMPICS - IOWA
For the period beginning 06/01/09 through 05/31/10
GROSS REVENUE 454,711.96
EXPENSES
SALARIES, WAGES, COMMISSIONS 104,648.06
PROMOTIONAL FEES 14,098.16
POSTAGE 5,677.11
TELEPHONE 77,681.79
RENT 29,899.45
SUPPLIES 3,217.03
LICENSES, PERMITS 5,298.64
ADVERTISING 6,623.30
ACCOUNTING/DATA PROCESSING 37,279.69
LIST PREPARATION 2,933.17
OTHER:
TOTAL EXPENSES 287,356.40 63.20%
Net Proceeds 167,355.56 36.80%
Amount Retained by Charitable Organization or Sponsor 216,523.26 47 .62%
Percentage of Funds Received by Charitable Organization or Sponsor 47.62%

(Amount Retained by the Charitable Organization or Sponsor divided
by Gross Revenue)
Net Income/Loss (-) to THC -49,167.70 -10.81%

(pending ongoing collections & reconciliations)
12/16/2010
BUSINESS AND RESIDENTIAL AGREEMENT BETWEEN
doing business as
MEDALLION PRODUCTIONS
And
SPECIAL OLYMPICS IOWA, INC.
For and in consideration of the mutual promises of, and mutual benefits derived
by the parties hereto, and other considerations, this Agreement is made and entered into
by and between The Heritage Company doing business as Medallion Productions, 2402
Wildwood Avenue, Suite 500, Sherwood, AR. 72120 or P. O. Box 16325 Little Rock,
AR. 72231, hereinafter referred to as Medallion, and Special Olympics Iowa, Inc., 551
SE Dovetail Rd, PO Box 620 Grimes, IA. 50111 (hereinafter referred to as SOIA).
This Agreement shall extend for a period from January 1, 2011 until December
31, 2011. It is the stated intent of both parties at the time of execution to continue this
Outreach Program for its full term.
1. PURPOSE
Medallion will conduct by telephone an Outreach Program from its
facilities in Arkansas, to ask businesses, professionals and residents throughout the state
of Iowa, to take an independent action to help SOIA accomplish its program service
mission. Medallion and its representatives shall conduct all business operations ethically
and in a businesslike manner. The Outreach Program shall begin January 1, 2011 and
shall continue through December 31, 2011.
A. CALL TO ACTION
Medallion will contact by telephone those businesses and professionals
throughout the State of Iowa who have been identified as having an interest and the
ability to take one or more specific actions to further the program services of SOIA or the
need or the reasonable potential to use the program services of SOIA, it is the intent of
SOIA to contact all businesses based on the belief that all employees could have a need
or interest in SOIA program and mission. Also, Medallion will send out additional
information about SOIA to those who request the same. In the course of all such contacts,
Medallion representatives will define SOIA, explain its objectives, and encourage support
Agreement
Page 2
on the local levels, by way of attendance at athletic events, seek identification of potential
program participants, and request financial assistance by relating the history and
objectives of SOIA on a one-to-one basis (collectively referred to herein as the Outreach
Programs). All those who respond to the contact who wish to donate merchandise,
volunteer personal services or identify potential program participants will be referred
directly to the designated representative of SOIA
B. IMPLEMENTATION AND APPROVALS
Before the Outreach Program begins, SOIA agrees to provide to
Medallion all information necessary to implement a statewide call to action program.
SOIA shall have approval of all telephone presentations, letters of information, and letters
of appreciation used by Medallion in the Outreach Program. Any suggested material
changes in any written material or script or any other item used in conjunction with this
program shall be provided to SOIA in a timely fashion in advance of usage with the right
to review and approve. Approval of such items shall not be unreasonably withheld and
shall be given or denied no longer than five (5) business days of receipt of such items by
SOIA. SOIA also agrees to finish Medallion with the names of two (2) persons in SOIA
whom Medallion may use as referrals for verification and follow up on additional
Outreach requests.
From time to time SOIA will make available to Medallion updated
program education and event information, which upon reasonable approval by SOIA may
be incorporated into the primary statewide Outreach Program.
SOIA agrees to provide sample copies for internal use of the following
necessary information for a successful campaign. This includes:
• Written and printed signature of President/CEO or persons designated to sign
thank-you letters, Certificates of Appreciation, information letters and/or other
creative material designed by Medallion and approved by SOIA
• Newsletters, video tapes, news release and/or other related materials pertaining to
the progress of the SOIA's objectives
• Current updates of state events to include the dates and locations(s) and the
number of athletes participating.
• Non-profit bulk mailing status approval from U. S. Postal Service
Agreement
Page 3
• 501 (c) (3) Tax Determination Letter

• IRS 990 form/current audited financial statement
• Do Not Call List of businesses, professionals and their employees that include
name, complete address locations and phone numbers. SOIA shall have the right to
add names to the Do Not Contact list during the term of this contract. Should
SOIA elect to remove a donor from the Outreach Program or materially alter
Medallion's ability to generate revenue, both parties must agree in writing as to the
impact of this action.
C. PROGRAM REPORTING
Medallion will provide Special Olympics Iowa reasonable monthly and year to
date reports that shall address the overall program goals and objectives of this Outreach
Program. The following information that is available in Medallion's system:
General Business
Communi!Y, ResJ!onders Total
Nwnber of hours worked Number of hours worked Number of hours worked
Total dollars pledged Total dollars pledged Total dollars pledged
Total number of pledges Total number of pledges Total number of pledges
Total dollars collected Total dollars collected Total dollars collected
Total number of paid donor's Total number of paid donors Total number of paid donors
D. ACCOUNTING
Respondents to the phone call will send their remittance to SOIA to a post office
box. SOIA agrees that the postmaster will be authorized to send once a week all mail
received by Special Olympics Iowa to Medallion at its corporate headquarters in North
Little Rock, Arkansas. Medallion will open mail, record payment to the SOIA account,
prepare deposit slip and deposit monies into the SOIA bank account. A copy of the
deposit slips will be forwarded to SOIA on a weekly basis. All funds received shall be
deposited with Metropolitan National Bank in Little Rock, Arkansas in SOIA's bank
account. Medallion will disburse fees each week owed to SOIA from receipts held in
SOIA's account.
Agreement
Page 4
E. TRAINING
Medallion shall train its representatives to be knowledgeable about SOIA and
such representatives will be trained by Medallion to have expe11ise in SOIA mission,
programs, and objectives and to answer questions regarding SOIA. In regard SOIA shall
provide Medallion reasonable guidance and materials. Both parties herein affirm their
dedication to fulfill the objective and missions of SOIA through the implementation of
the paragraph and this Agreement.
II. COMPLIANCE WITH LAWS OF REGISTRA TION/T AX EXEMPTION

SOIA agrees to provide Medallion with evidence of SOIA's tax-exempt status
and to comply with all Federal, State, and Municipal laws and regulations, especially
those laws and regulations pertaining to registration by charitable organizations, and to
bear all costs for same prior to Medallion's performance under this Agreement
Medallion agrees to obtain all licenses and permits with respect to the direct
response activity and to pay all fees and charges in cormection herewith.
III Compliance with StatelFederal Do Not Call Laws
THC abides by the do not call statues and rules that regulate fundraising for
charities by the various state and federal regulatory agencies . THC subscribes to the state
run lists, The Direct Marketing Association and the Telephone Preference Service from
the Direct Marketing Association.
THC also maintains an internal suppression list made up of individuals who have
made a direct request, either through contact by phone, e-mail or mail, directly to SOIA
or to THe. All requests will be honored for a period of five (5) years.
SOIA agrees it is their responsibility to obtain the name, address and telephone
number of the individual requesting to be placed on their do not call list. SOIA shall
immediately notify THC of such request bye-mail follow up requested, by fax or by

Agreement
Page 5
letter. THe shall not be held responsible for any request received by SOIA and not
forwarded to THC.
The parties mutually acknowledge and agree that passage, either at the state or
federal level, of a do-not-calJ law, which does not exempt calls made on behalf of
nonprofit organizations, will inevitably impact the ability of Medallion to meet its
financial guarantee.
The parties therefore agree that Medallion shall have the sole and exclusive option
of terminating the guarantee at any time following the effective date such law. In the
event Medallion exercises its option, the guarantee will be prorated to the date of
election.
Thereafter, proceeds will be divided in accordance with the minimum guarantee
set forth as stated in the letter of Agreement. Failure by Medallion to exercise its option
prior to the effective date of the do-not-call law shall not constitute a waiver. The option
shall be available at any time throughout the term of the Agreement or any extension
thereof.
IV INDEMNIFICATION
A. By Medallion. Medallion agrees to hold harmless and indemnify SOIA
from and against any and all costs, expenses, claims, actions, causes of action, damages,
judgments, demands, suits, and liability including, without limitation, reasonable
attorney's fees and costs, arising out of, under or relating to, directly or indirectly, the
services, business, or conduct of Medallion or its employees or agents in connection with
this Agreement, including, but not limited to any suits, actions, causes of action,
damages, judgments, demands, or claims made by vendors, suppliers, or creditors of
Medallion, or made by any person alleging harassment or invasion of privacy, or
Agreement
Page 6
resulting directly or indirectly from any misrepresentation or breach of warranty by

Medallion contained in this Agreement.
B. By SOIA. SOIA agrees to hold harmless and indemnify Medallion from
any and all costs, expenses, claims, actions, causes of action, damages, judgments,
demands, suits, and liability including, without limitation, reasonable attorney's fees and
costs, arising out of, under, or relating to, directly or indirectly, the loss by SOIA of
Federal tax-exempt status, or the inaccuracy of any written information provided by
SOIA to Medallion pursuant to this Agreement, including, but not limited to, copyright
infringement or claims that such information is libelous or slanderous, resulting directly
or indirectly from any misrepresentation or breach of warranty by SOIA contained in this
Agreement.
V. COMPENSAnON
SOIA shall compensate Medallion for its efforts under this Agreement at the rate
of thirty ($30.00) Dollars per hour inclusive of Coaches/Trainer training hours for the
period of January 1, 2011 through December 31, 2011. Medallion shall provide invoices
on a timely basis to SOIA for review. If overall collected revenue does not exceed the
cost, Medallion agrees to absorb the loss.
SOIA is to pay weekly to Medallion the agreed upon hourly fee . Payment will be
transferred directly into the Medallion account 0067903, ADA # 082001247 at the
Metropolitan National Bank in Little Rock, Arkansas on Thursday of each week.
As a material condition to include SOIA to enter into this Agreement,
Medallion has represented to SOIA that it will issue a statement providing a guarantee of
minimum level performance under the terms of this Agreement. Failure to issue this
guarantee of minimum level performance shall entitle SOIA to terminate this Agreement
on the 30th day after commencement of the term of this Agreement.
VI LIST OWNERSHIP
Medallion agrees to provide, upon request and at the expiration or termination
of this contract, a list including contact names who have responded positively to SOIA
call for an affirmative act. Medallion shall provide to SOIA the survey of the calls to
Agreement
Page 7
action on a quarterly basis as well as weekly individual requests requiring response by

SOIA. This list shall be on magnetic tape or media requested by SOIA and shall include
the complete name, complete address, phone number, giving history, business contact
name and our call to action or shall be sorted by criteria contained in the data base such
as zip code, response information and the like.
SOIA agrees not to use the list developed by Medallion for the purpose of
soliciting financial support through direct mail, telemarketing, or any other fund-raising
venture; nor to rent, exchange, lease, sell or give away said list during the term of this
Agreement. At the termination or expiration of this Agreement, SOIA agrees not to
contact those donors who have outstanding pledges for a period of 120 days.
SOIA agrees that after providing the applicable lists as described above
Medallion will have fulfilled its obligations under the terms of this Agreement and shall
not be held responsible for maintaining a separate database of the contents of the lists
provided.
VII DATABASE
Donor List Requirements shall include the following:
1. SOIA acknowledges that Medallion maintains a proprietary master composite
file containing the name, address and other information of businesses that have
or may respond positively to direct response outreaches by charitable
organizations.
2. Donor names, addresses, phone numbers and contributions provided to
Medallion by SOIA will not be included in this master file for the mutual benefit
of other Organizations.
3. Medallion will regularly update the donor file for the purpose of list
maintenance. These revisions shall be forwarded to SOIA on an as needed basis
4. Maintenance of a reasonable "Do Not Contact" file for direct mail and
telemarketing are to be reported to a representative of Medallion responsible for
list maintenance.
5. Medallion shall route all names of individuals who request no solicitation to
SOIA upon request.
Agreement
Page 9
2. SOIA will at its discretion follow up to confirm the apology, as well as

extending an apology from SOIA if determining the additional action is
necessary.
3. Medallion will identify the Representative that created the situation. If two
inquiries of the same degree of seriousness within six months or less occur,
Medallion will remove that Representative from the SOIA Outreach program.
4. Medallion will have twenty-four (24) hours to resolve and report the results
of the complaint to SOIA.
VIII. NON-COMPETITION
SOIA agrees not to engage in any Outreach appeal by telemarketing to businesses
that directly competes with the Outreach Program operated by Medallion throughout the
term of this Agreement, or any extension thereof. Nothing contained herein shall restrict
SOIA from engaging in other education program service activities, such as direct mail,
marketing programs such as affinity cards and magazine sales.
IX. CONFLICT WITH STATE LAW

If any of the provisions hereof are in conflict with any applicable statue or rule of
law of Iowa, then such provisions shall be deemed inoperative to the extent that they may
conflict therewith and shall be deemed to be modified to conform to such statue or rule of
law.
X. SEP ARABILITY
If any provision or provisions of this Agreement shall be held to be invalid,
illegal, or unenforceable, the validity, legality and enforcement of the remaining
provisions shall not in any way be affected or impaired thereby.
XI. MUTUAL RlGHT OF TERMINATION

The term of this Agreement is January 1,2011 through December 31, 2011 or
upon SOl accreditation, whichever is shorter. Either party may terminate this Agreement
without cause with thirty (30) days wrinen notice by facsimile receipt requested mail.
SOIA agrees Medallion will continue fulfillment for responses made prior to termination
for a maximum of four (4) months. Any affirmative responses received during this period
Agreemenl
Page II
XV RENEWAL OPTION
This Agreement shall automatically be extended for one additional (1) year unless
either party shall give notice of its intention to allow the contract to terminate not less
than ninety (90) days prior to their expected date of the primary term.
IN WITNESS WHEREOF, the parties have hereunder set their hand and seal,
with the date of execution by Special Olympics Iowa specified to be the day and year first
above written, and by Medallion on the date set forth below.
APROVED:
THEHEillTAGECOMPANY SPECIAL OLYMPICS IOWA, INC.
BY: BY:+~
7\C "'>
,/ ,67451 vEAJ r ~ EO
TIT__ TITLE
DATE~lcfdclO DATE: 12-/8

I l
Lo
SPECIAL OLYMPICS IOWA, INC.
TITLE
DATE: ,-, l
.-
COPILEVITZ & -CANTER, LLC
ATTORNEYS AT LAW
3 lOW. 20TH STREET
SUITE 300
KANSAS CITY, MfSSOURf 64108
(816) 472-9000' FAX (816) 472-5000
December 30, 2010
Ms. Helen Alessio

Hoover Building
Des Monies, lA 50319
Re: The Heritage Company, Inc. / Special Olympics Iowa
Dear Ms. Alessio:
The above referenced organization is a professional fund raiser currently registered with
your office. The Heritage Company, Inc. entered into a contract with the above referenced
charitable organization. They have asl~ed that I forward this contract to you.
Thank you for your attention to this matter. please feel free to contact me should you have
any questions regarding this matter.
Rose M. Whitsitt
Legal Assistant
For the Firm
:rmw
Enclosure
rose@cckc-law.com
'Ala .lJ0I1J31C>!,' Y:~' in -: - 'o':

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WashinglOn D .C. Office: 1900 L STREET. SUITE 2 15. WAS HINGTON , D .C. 20036 • (202) 86 1-0740 • FAX (202) 33 1-984 1 • E-MAIL copcandc@aol.com
515-281-5926
raisers as defined in Iowa Code Chapter 13e. Charitable or~anizations as defined in this
raise funds.

2. Please type or carefully print your responses. Answer all questions fully and correctly .

OF THIS FORM.
place of business:
2402 Wildwood Avenue, Suite 500
Sherwood, AR 72120
501-835-5000 "
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3. Formofbusiness~C~o~r~p~o~ra~t~io~n~_____________________________________________
(Individual , Partnership, Business Corporation, Nonprofit Corporation, etc.)
4. Identify the state in which registrant is organized or incorporated Arkansas
Date organ ized or incorporated---=.1:....:/2:.;:5.:..../1:..:9--=6:...:8___________________________________
John C. Braune
2402 Wildwood Avenue, Suite 500, Sherwood, AR 72120

raiser:
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raiser:
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oYes'&No If yes, attach detailed explanation as to agency involved, date, court, claim and
disposition. Attach copies ofall complaints, petitions, settlement agreements, plea agreements,
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~Yes ONo If yes, attach a list of all other states.
OYes ~No If yes, attach a detailed explanation.
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any time?
OYes l'§i:INo
DYes XlNo If yes, please identifY the charity and the subcontractor below: (Attach a
-3
DYes DNo DAttached
Note: Ifadditional contracts are entered into after the filing of this registration statement, submit a copy
SIGNATURE
T hereby certify that Tam authorized to sign this Registration and that the information provided is
Date «;/(' )
/'(J John C. Braune
Name (Print)
President/CEO
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The Heritage Company, Inc. FEIN:
LIST OF STATES, COUNTIES AND CITIES WHERE REGISTERED

Alaska: Alaska Department Of Law, 1031 W. 4th Ave., Suite 200, Anchorage, AK 99501
Alabama: Consumer Affairs Section, 500 Dexter Avenue, Montgomery, AL 36130
Arkansas: Consumer Protection Division, 323 Center Street, 200 Tower Bldg, Little Rock, AR 72201
Arizona: Secretary of State-Charities Division, 1700 W. Washington St., 7th Floor, Phoenix, AZ 85007
Los Angeles, California: Los Angeles Police Commission, 200 N. Spring Street, Room 1513, Los Angeles, CI 90012
California: Registry Of Charitable Trusts, 1300 I Street, Suite 101, Sacramento, CA 95814
Colorado: Office Of The Secretary Of State, 1700 Broadway, Suite 300, Denver, CO 80290
Connecticut: Public Charities Unit, 55 Elm Street, Hartford, CT 06106
Florida: Division Of Consumer Services, 2005 Apalachee Parkway, Tallahassee, FL 32399
Georgia: Office Of The Secretary Of State, 2 Martin Luther King Jr. Dr. SE, #802, Atlanta, GA 30334
Hawaii: Department of the Attorney General, 425 Queen Street, Honolulu, HI 96813
Iowa: Consumer Protection Division, 1305 E. Walnut, Des Moines, IA 50319
Illinois: Charitable Trust Bureau, 100 W. Randolph St., 11th Fl., Chicago, IL 60601
Indiana: Consumer Protection Division, 302 W. Washington Street, 5th Floor, Indianapolis, IN 46204
Jefferson County, Kentucky: Department Of Public Protection, 444 S. 5th, Ste 10 I, Louisville, K I 40202
Kansas: Secretary Of State's Office, 120 S.W. 10th Ave., 1st FI, Topeka, KS 66612
Kentucky: Consumer Protection Division, 1024 Capital Center Drive, Frankfort, K Y 4060 I
Louisiana: Consumer Protection Section, 1885 N. 3rd Street, Baton Rouge, LA 70802
Massachusetts: Public Charities Division, I Ashburton Place, Boston, MA 02108
Maryland: Charitable Organization Division, 16 Francis Street, Annapolis, MD 2140 I
Maine: Office of Licensing and Regulation, 122 Northern Ave, Gardiner, ME 04345
Michigan: Charitable Trust Section, 690 Law Bldg, 525 W. Ottawa Street, Lansing, MI48913
Minnesota: Office of the Attorney General/Charities, 445 Minnesota Street, Suite 1200, St Paul, MN 55101
Missouri: Missouri Attorney General, 207 W. High Street, Jefferson City, MO 65102
Mississippi: Office Of The Secretary Of State, 700 North Street, Jackson, MS 39202-3024
North Carolina: Secretary Of State, 2 South Salisbury Street, Raleigh, NC 27601
North Dakota: Secretary Of State, 600 East Boulevard, Bismarck, ND 58505
New Hampshire: Charitable Trusts Unit, 33 Capitol Street, Concord, NH 03301
New Jersey: Office of Consumer Protection, 124 Halsey Street, 7th Floor, Newark, NJ 0710 I
New Mexico: Office of the Attorney General, III Lomas Blvd., NW, Suite 300, Albuquerque, NM 87102
New York: Charities Bureau, 120 Broadway, New York, NY 10271
Columbus, Ohio: Charitable Solicitations License Section, 750 Piedmont Road, Columbus, 0143224
Ohio: Charitable Foundation Section, 150 E. Gay Steet, 23rd Floor, Columbus, OH 43215
Oklahoma: Oklahoma Secretary Of State, 2300 N. Lincoln Blvd., Room 101, Oklahoma City, OK 73105
Oregon: Department Of Justice, 1515 SW 5th Avenue, Suite 410, Portland, OR 97201
Pennsylvania: Bureau Of Charitable Organizations, 207 North Office Building, Harrisburg, PA 17120
Rhode Island: Charitable Organization Section, 1511 Pontiac Ave, Bldg 69-1, Cranston, RI 02920
South Carolina: Office Of The Attorney General, 1205 Pendleton Street, Ste 525, Columbia, SC 29201
South Dakota: Office OfThe Attorney General, 500 East Capitol, Pierre, SD 57501
Tennessee: Division Of Charitable Solicitations, 312 Rosa L. Parks Avenue, 8th Floor, Nashville, TN 37243
Utah: Division Of Consumer Protection, 160 East 300 South, Salt Lake City, UT 45804
Virginia: Office of Consumer Affairs, 102 Governor Street, Lower Level, Richmond, VA 23219
Vermont: Office OfThe Attorney General, 109 State Street, Montpelier, VT 05609
Washington: Charitable Sol icitation Division, 80 I Capitol Way South, Olympia, W A 98504
Wisconsin: Dept Of Regulation & Licensing, 1400 E. Washington Avenue, Madison, WI 53702
West Virginia: Office OfThe Secretary Of State, 1900 Kan
LIST OF OFFICERS AND DIRECTORS

John C. Braune, CEO/Owner
2402 Wildwood Ave.
Sherwood, AR 72120
Sanra Franecke, General Manager
2402 Wildwood A venue, Suite 500
Sherwood, AR 72120
Marilyn Michie, Vice President

2402 Wildwood Ave.
Sherwood, AR 72120
LIST OF PHONE ROOM MANAGERS

John C. Braune
2402 Wildwood Ave.
Sherwood, AR 72120
501-821-6480
The Heritage Company, Inc: FEIN:
LIST OF AGREEMENTS WITH CHARITABLE ORGANIZA nONS
# ansas Children's Hospital Foundation, 800 Marshall Street, Slot 661, Little Rock, AR 72202
/ Campaign Period: 05-04-2010 to 04-04-2011
Aildren's Wish Foundation International, Inc., 8615 Roswell Road, Atlanta, GA 30350
Campaign Period: 01-01-2007 to 12-31-2010
~listed Association National Guard oflowa, Camp Dodge, 7700 N.W. Beaver Drive, Johnston, IA
50131-1902
V£nlisted Association of the National Guard of the United States, 3133 Mount Vernon Ave., Alexandria,
VA 22305
~thers Against Drunk Driving, 511 E. John Carpenter Freeway" Suite 700, Irving, TX 75062
Campaign Period: 07-01-2005 to 06-30-2011,07-01-2005 to 06-30-2011
~ltiple Sclerosis Association of America, Inc., 706 Haddonfield Road, Cherry Hill, NJ 08002
/' Campaign Period: 07-01-2008 to 06-30-2011
vNational Caregiving Foundation, 801 N. Pitt Street, # 116, Alexandria, VA 22314-1765
Yromenade Nationale Corporation, 777 N. Meridian Street, Suite 300, Indianapolis, IN 46204-1420
~ecial Olympics Iowa, P.O. Box 620, Grimes, IA 50111
~National Children's Cancer Society, Inc., One South Memorial Drive, Ste. 800, St. Louis, MO 63102
, / Campaign Period: 01-01-2010 to 12-31-2012
JJ11ited Breast Cancer Foundation, Inc., 223 Wall Street, Suite 368, Huntington, NY 11743
CHARITABLE ORGANIZATION FINANCIAL INFORMATION DISCLOSURE FORM
1. Name of Professional Fund-Raiser: Xentel , Inc.

------~-----------------------
State of Iowa during this registration period. (Ifmore than one charitable organization,
file a separate Financial Information Disclosure form ·for each.)
A. Name: AMVETS, Department of Iowa
5826 Caldwell Road, Coggon, IA 52218
319-290-0901
Rex Romack, Chairman
4614 S. 150th St., Omaha, NE 68137 402-896-8044
3. Beginning and ending solicitation dates 6/1/2008 through 5/31/2011
o Yes ~o Ifno, attach a copy of the contract to this form.
I&l Telephone 0 Door-to:-door 0 Electronic Media (TV, radio) 0 Direct Mail

o Print media (magazines, newspapers) 0 Other
~ Telephone 0 Mail
from which calls will be made. (Ifmore than two locations, continue on a separate sheet);
Room 1
Page 1 of 5
.- - .
-- /-'.-. l'
\-' - - .
\
Please
a. Address of telephone room (Include street, city and state): _ _ ___ see
_attached
_ _ _ __.
b. All telephone number(s)frorn which solicitations are made:._ ____________
Room 2
a. Address oftelephone room (Include street, city and state): _ _ _ _ _ _ _ _ _ __
b. All telephone number(s)from which solicitations are made:_ _ _ _ _ _ _ _ __
8. Will the solicitation campaign involve the sale of goods or services? D Yes Qll No
If yes, check one or more ofthe following that apply:
D Tickets to an event D Advertising space in a program book, journal, or other

D Other (describe)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
9. .Will the professional fund-raiser collect donated funds directly from the donor(s) in person?
DYes fiNo
If ''No,'' describe how the funds will be collected. Donorswill be sent all printed materials in thE)
mail with an invoice stating the pledge amount made on the pnone. Pledges Will be sent
to a drop box in the name of the AMVETS, Dept. of Iowa and checks will be made
payable to AMVETS, Dept. of Iowa.
Page 2 of 5
Funds are sent to PO Box 42006, Urbandale, IA and then forwarded to our
caging center US Billing, 10012 W. Capitol Drive Milwaukee, WI 53222
The mail is opened, entered into the comPI/ter and deposited in the AMVFTS,
Department of IA bank account .
TCF Bank, 500 W. Brown Deer Rd., Milw., WI 53202 Account # 373066185
11. State which of the following has the authority to withdraw the funds from any banking.
~ Professional fund-raiser 0 Charitable Organization 0 Both or either

o Neither (please explain)
~Yes ONo
being carried out.
See Attached Sheet
Page 3 of 5
completed fiscal year or the previous twelve months): . 6-1-07 thru 5-31-08
$174 ,130.00
. tickets to events, government grants, private charities, foundations, etc.):
Donations and Contributions

(1) Total given to charitable organization _ _2_0,-,0_0_0,-.0_0_ __
other applicable categories: salaries/commissi9!lS/compensation; rent/mortgage;
transportation; professional services (attorneys; accountants, etc.);
Payroll 35,416.14 Corporate Office Overhead 16,954.30
Printing 2.089.21 Branch Office Overhead 13,871 .70
Postage 5,849.80 Org. Publication 29 ,004.55
Telephone 7 870 25 Paid Solicitor fee 23.074.05
amount:
$154,130.00
Page 4 of 5
immediately.
SIGNATURE:
State of Wisconsin )
) 5S.
County of Milwaukee )
1, Susan.J Wood , being first duly sworn on oath, depose and state that I am a
managing agent of the professional fimd-raiser; that I have read the contents of this Charitable
statement made and each answer given is true to my own 1rnt'1.urh..11
Subscribed and sworn to before me on · ~""7 / ? d t7t:J?
Page 5 of 5
CHARITABLE PURPOSE
The purpose of the Amvets Department of Iowa is to promote vigilance in

the present and care for the future that keeps freedom alive through
programs such as Americanism in the schools, reverence for the flag,
special Olympics, safe driving, blood and organ donor, Amvets against
drug and alcohol abuse and scouting for boys and girls.
LOCATION:
OSHKOSH OFFICE
323 N. Sawyer Street
Oshkosh, VVI 54902
Phone: 920-236-9058
Fax: 920-236-9059
Xentel, Inc. Officers and Supervisors in charge of Solicitation Activity:
Regional Supervisor - Jose Quinones

Residential : 13141 S.VV. 40 th Street
Davie, FL 33330
Business: 5159 S. University Drive

Davie, FL 33328
7905 NVV 53 Street, #8005

Doral, FL 33166
Branch Manager - Ken Kraus

Residential: 4895 County E
Oshkosh, VVI54904
Business: 323 N. Sawyer Street
Oshkosh, VVI 54902
Director of Legislative Affairs - Donna Marie Wagoner

Residential: 2744 NE 19 th Street
Ft. Lauderdale, FL 33305
Business : 101 N.E. 3rd Avenue, Suite 203
Ft. Lauderdale, FL 33301-1104
Phone: 954-952-5200 Ext. 109
Location
West Allis Office

9330 W. Lincoln Ave., #22
West Allis, WI 53227
Phone: 414-431-1443
Fax: 414-431-1487
Xentel, Inc. Officers and Supervisors in charge of Solicitation Activity:
Regional Supervisor - Jose Quinones

Residential: 13141 S.W. 40 th Street
Davie, FL 33330
Business: 5159 S. University Drive

Davie, FL 33328
7905 NW 53 Street, #8005

Doral, FL 33166
Branch Manager - Joe Blanco Residential Address

9330 West Lincoln Avenue, #22 7536 W. Nash Street
West Allis, WI 53227 Milwaukee, WI 53216
414-431-1443
414-431-1487 Fax
Director of Legislative Affairs - Donna Marie Wagoner

Residential: 2744 NE 19 th Street
Business: 101 N.E. 3rd Avenue, Suite 203
Ft. Lauderdale, FL 33301-1104
Phone: 954-952-5200 Ext. 109
AGREEMENT
XENTEL INC. ("XI") and the AMVETS, DEPARTMENT OF IOWA ("Sponsor") hereby enter into this
agreement "(AGREEMENT") on this 23 rd day of April, 2008, and covenant and agree as follows:
1. REPRESENTATIONS BY XI
XI is a corporation duly organized and validly existing in good standing pursuant of the laws of the State
of Delaware. XI is registered as a professional solicitor pursuant to Iowa law, and has all necessary
licenses and permits and full power and authority to carry on its business as contemplated by this
agreement. XI has fuUlegal right, power and authority to enter into this Agreement and to undertake the
actions to be performed under this Agreement. XI may, in its sole discretion, assign this Agreement or
any portion thereof to a bona fide third party contractor provided, however, that such third party provides
such undertakings and assurances as required by the Agreement.
2. REPRESENTATIONS BY SPONSOR
Sponsor is a not for profit Iowa corporation duly organized, validly existing and in good standing
pursuant of the laws of the State of Iowa. Sponsor has full legal right, power and authority to enter into
this Agreement. Sponsor is an organization that is exempt from federal income tax under Section 501
(C) (19) of the Internal Revenue Code of 1986, as amended (the "Code").
3. GRANT OF LICENSE
Subject to the conditions specified in the Agreement. Sponsor grants to XI an exclusive limited license,
during the term of this Agreement, to use the name "AMVETS, Department of Iowa" and the Sponsor's
logo, for use in conducting public awareness programs and/or promotion of the campaign (as defined in
Paragraph 6 below), and for no other purpose. Sponsor agrees not to engage in any residential or
business telesales solicitation campaign within its jurisdiction during the term of this agreement, or any
extension thereof, without first obtaining the written consent of XI. XI may withhold same in its sole
and exclusive discretion.
4. WARRANTY
Sponsor warrants that it has the right to license the use of its name and that XI's use of the Sponsor's
name as described in Paragraph 3 above will not violate the proprietary rights of any third party.
Sponsor further warrants, during the term of this Agreement, not to enter into any other license
agreement with, or otherwise, allow itself, of any third party to use the Sponsor's name in any other
fundraising campaign in connection with the promotion or presentation of any amusement enterprise,
without prior consent of XI. Sponsor warrants that they will provide full cooperation and its goodwill in
the performance of this agreement.
Contract #: 4511
Ent. 4/23/08 DB
5. PROPRIETARY RIGHTS
Sponsor's name and logo, as described in Paragraph 3 above, shall remain the sole and exclusive
property of Sponsor at all times. Without the prior written consent of Sponsor, XI shall not sublicense
the use of Sponsor's name or logo to any individual or entity, or make any use of Sponsor's name or logo
except as expressly authorized in this Agreement. In the course of performing its obligations under the
Agreement, XI may generate or create tangible and intangible data, documents, and other materials
(collectively, "Work Product"). XI shall be the sole and exclusive owner of all of its Work Product and
all proprietary rights (including copyrights) therein. The ownership and right to these Work Products is a
material inducement to XI to enter into this agreement.
6. EVENTS AND TERM OF AGREEMENT
XI agrees to supply public awareness services as follows: XI agrees to conduct a public awareness
campaign on behalf of Sponsor throughout the State of Iowa. XI also agrees to publish no less frequently
than five (5) times per year Sponsor's official newspaper The Iowa Amvet (hereinafter sometimes
referred to as "the publication") and the Convention Yearbook.
XI will publish the Publication five (5) times per year in February, April, August, October and December
with not more than 8,500 copies per edition and with distribution of same by XI to Sponsor membership
throughout Iowa. The Convention Yearbook is to be published in June throughout the term. Sponsor
shall make available to XI at no cost to XI, Sponsor's non-profit second class mail permit for said
membership distribution and the cost of such postage shall be at XI's expense. Sponsor shall notify XI
on a timely basis of the Sponsor representative with whom the publication schedule should be discussed.
Sponsor shall, at its own expense, furnish at least sixty (60) days prior to publication: articles
appropriate in length and number to fill each publication with a balance of fifty percent (50%)
commercial acknowledgements and residential sponsor listings.
The publication shall have no more than 50 pictures per issue and shall be no longer than 18 pages in
length. Bulk shipments shall not exceed 25. XI agrees to maintain a 30 day turnaround on production.
XI shall have exclusive control and responsibility for the publishing of the five newspapers and
Convention Yearbook each year, including but not limited to, key lining, typesetting, editing, printing,
layout and design. All editorial development is under the control of Sponsor. XI shall have the right to
write or edit articles submitted by Sponsor for newspaper and yearbook with the exception of printed
materials, excluding advertisements/acknowledgements (subject to fmal approval of Sponsor or
representative of Sponsor who has authority to approve such writings). Sponsor shall designate
authorized representatives to XI prior to the publication deadline.
XI shall bear all costs and expenses of the campaign. XI maintains the right to conduct tele-sales to
businesses and residences. XI will secure all necessary permits, specifically including, but not limited to,
sales tax permits, registrations, and licenses within the jurisdiction where such productions and
solicitation are held. In the event legal expenses are incurred as a result of the solicitation campaign of
the promotion of conduct of the campaign covered by this Agreement as a result of the actions of XI, XI
agrees to indemnify and hold harmless the Sponsor. XI has all responsibility for all costs of the
promotion, conduct, and arrangement of the campaign. XI also assumes all responsibility for complying
with all registration and reporting requirements pursuant to the rules promulgated by the appropriate
state agencies. SPONSOR MAY BE REQUIRED TO REGISTER WITH THE STATE (S) IN
WHICH IT OPERATES. TIDS SHALL BE THE SOLE RESPONSffiILITY OF THE SPONSOR.
7. QUALITY CONTROL
XI agrees to refrain from engaging in any activities that would adversely affect the reputation of Sponsor
or its members or violate any County, State or Federal Laws or regulations relating to the fulfillment of
this Agreement. XI further agrees that its employees and agents shall not at any time represent, directly
or indirectly, that they are Sponsor personnel, and such employees and agents and any printed materials
shall clearly state that XI represents Sponsor. XI and any employees, agents, solicitors or subcontractors
of XI are not agents of Sponsor.
8. ROYALTY AND PAYMENT
During the term of this agreement, all monies collected from any source whatsoever through the
solicitation campaign shall be made payable to "AMVETS, Department of Iowa" and shall be delivered
and or deposited into a bank account opened by and under the sole control of the Sponsor within the
State of Wisconsin no later than two (2) days after receipt.
(a) The Sponsor shall receive fmancial statements from the bank showing all deposits to,
withdrawals from, and other activity within. Except for any required holdback revenue
received shall be transferred to XI weekly.
(b) The Sponsor shall be guaranteed quarterly royalty payments from XI in the amount
of Five Thousand Dollars ($5,000.00) payable on September 1, December 1, March 1 and
June 1 during each year of this Agreement, which shall be payable directly to the Sponsor.
(b) XI shall pay all costs of the events and the solicitation campaign, as outlined in this
agreement, from the bank account maintained by Xl.
(c) Either party reserves the right to renegotiate the guaranteed royalty payments received by
the Sponsor on an annual basis. Upon the Sponsor's written request, XI shall, at its
expense, furnish to the Sponsor copies of fmancial records reflecting the gross and net
sales, percentage of production/collections, and all expenses incurred by each "event" and
for all prior periods during which this contract was in effect.
The Parties acknowledge that 10% of XI revenues will be considered as a consulting fee and the balance
will be considered to off-set the cost of operating overheads including: telephone, wages, printing, event
and venue costs, office rent, etc.
The Sponsor agrees to open a merchant credit card account with the designated credit card processor so
XI may accept credit card payments on the Sponsor's behalf. Credit card payments accepted on the
Sponsor's behalf will be deposited into the Sponsor's bank account by the credit card processor in
accordance with their usual business practices. All ongoing monthly charges and transaction fees
including chargeback fees, ACH Reject Fees, account maintenance fees, internet gateway fees, rejection
fees, and any other credit card account related charges relating to the Sponsor's credit card accounts will
be at the Sponsor's expense and charged directly by the credit card processor.
9. LIMIT AnON OF LIABILITY
The Royalty as set out in paragraph 8 herein, is contingent upon the continued cooperation of the
Sponsor and shall be subject to re-negotiation in the event of the following:
(a) Either party shall become the subject of adverse media publicity that results in a
significant demonstrable reduction in sales;
(b) A regulatory body publicly releases a decision in an adjudicated case that a violation has
occurred in the conduct of the campaign that results in a significant demonstrable
reduction in sales;
(c) The occurrence of an unforeseen event such as but not limited to a labor strike, natural
disaster, act of war or terrorism, or any other cause beyond XI's control that results in a
significant demonstrable reduction in sales;
(d) Any law or licensing provision shall be modified as to materially affect the conduct of
business as contemplated herein.
10. CHARACTER OF PAYMENT
The parties hereto intend that the payment under Paragraph 8 shall be treated as a royalty under Section
512 (b )(2) of the Code. To maintain compliance with the Code, Sponsor reserves the right to amend or
revoke this Agreement in the event of administrative or judicial fmdings inconsistent with the reporting
of Sponsor as a result of the Agreement.
(a) Sponsor shall provide XI written notice of its intent sixty (60) days before the effective
date of such amendment or revocation, which period shall begin on the date of mailing.
If Sponsor chooses to amend the Agreement, said amendment must be agreed upon by
XI.
(b) Should any Event arrangement be commenced before the sixty (60) day notice, this
Agreement, as written, shall remain in effect until there has been full contract
performances necessary for completion of such Event, including payment of all
expenses.
11. ENTIRE AGREEMENT
This Agreement contains the entire agreement between the parties and may not be amended or
supplemented except by written agreement executed by XI and Sponsor. There is no verbal
understanding that would alter or amend this Agreement.
12. ATTORNEY FEES AND BINDING ARBITRATION
In the event that there is any dispute concerning the terms and conditions of this Agreement, the parties
agree to submit to binding arbitration pursuant to the rules of the American Arbitration Association and
the prevailing party in any arbitration shall be entitled to an award of reasonable attorney's fees and
costs.
13. DEADLINE DATE
Until signed, this contract constitutes an offer to provide services. In order for XI to properly license this
Agreement and execute it's responsibilities in a timely manner this offer must be accepted and returned
by , 2008. In the event that such acceptance is not forthcoming by this date, then
XI reserves the right to withdraw this offer.
14. TERM
This agreement shall be in force for a period of 36 months commencing June 1, 2008 and expiring May
31,2011.
15. CHARITABLE PURPOSE
A leader since 1944 in preserving the freedoms secured by America's Anoed Forces, AMVETS
provides, not only support for veterans and the active military in procuring their earned entitlements, but
also community services that enhance the quality of life for this nation's citizens.
16. CANCELLATION
This Agreement shall be canceled and terminated upon the happening of any of the following events:
a) Expiration of the term hereof or any renewal term.
b) In the event that XI determines that available revenue is not sufficient to make campaign
economically viable, XI shall have the right to cancel and terminate this AGREEMENT effective ninety
(90) days following delivery to Sponsor, personally or by certified mail, of written notice of such
cancellation.
c) In the event that XI shall be in breach of any of the terms and provisions of this AGREEMENT
and shall not take affirmative action to correct the same within thirty (30) days following receipt of
written notice of such breach, Sponsor shall thereupon have the right to cancel and terminate this
Agreement, by majority vote of its Board of Directors, upon delivery, personally or by certified mail, of
60 days written notice of such cancellation.
d) Following notice of cancellation or termination, XI may continue to solicit support until the
effective date of such cancellation or termination, or until such earlier date as XI shall determine.
Following cancellation or termination, XI shall continue to account for and pay any and all royalties in
the manner set forth in numbered section 8 of this Agreement attributable to support sold prior to the
effective date of cancellation or termination to the extent that such revenues are ultimately collected and
duly paid by respective supporters.
e) Upon termination of this Agreement for any reason whatsoever, XI shall continue to bill contributors
for 90 days on sales made prior to the termination. Collections resulting from sales made prior to
termination shall be processed in the usual manner as prior to termination for a period of 180 days after
the termination date.
17. NOTICES
Notices pursuant to this Agreement shall be sent certified U.S. Mail, return receipt requested, to the
following addresses:
(a) For notices to: AMVETS, Department of Iowa
4614 South 150 tb Street
Omaha, NE 68167-1303
Attention: Rex Romack
Tel.#: 402-896-8044
(b) For notices to: Xentel Inc.

101 North East 3rd Ave.
Suite 203
U.S.A.
Attention: Michael Platz, Chairman
IN WITNESS WHEREOF, the parties hereunto affixed their hands on this _ _ day of
_ _ _ _ _-', 2008.
XENTELINC.
Da~
BY~
AMVETS, DEPARTMENT OF IOWA
Witness
Witness
By: ~dL~2--'
Verne H. Drews, Finance Officer
1420 South 320d Street
Clinton, IA 52732
563-243-3769 res
563-243-3252 fax
Ruthverne@mchsi.com
STATH OF IOW~ ~ ret
IN THB IOWA DlSTlUCT COURTFORPOlX COUNTY
) Case No. 47655

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THOMAS J. MILLlIR, } !£! ("')
ATIORNBY GIlNERAL O}l IOWA, ) or Col)
99AG25112, ) E ~J'T1
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CONSENT~ l> ;<-f 0

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XBN'IEL, me., )
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Defendant.
On this ~ of M~ 2004. the Court. lIaving been presemoo by
Assistant Attorney General Steve 81: Clair with ibis Conscot Judgment and having reYiewed the
IDom this matter, determines that fiDaljucJameut MouJd be eatered bm:io, and find. 8S follows:
1. Plaintiff State of Iowa ex rd. Tboma& 1. Mitter. Iowa Attorney General. has filed a
Petition in EquIty aaahW Xem~ lno. C~ pwwant to Iowa ~ § 114.16 (2003). the
Iowa Consumer Fraud A~ asking tb& Coort to ooter this Consent Judgment, wJIlth has been
approved by both PJaintltt and De&ndant.
2. The Court has juri3dIction oft.be parties and sultfect maft«.
3. De1bndant denies wrongdoing or tiab~ ofany kind, but has ssreed to eDtty ofthis
Coment Jud8lllen1 in order to resolve its dispute with plalntilf. TbiJ ConllMt 1udsmem aball nm
be u&ed as any evidence ofwrongdo1n8 or liability on the part ofDefmdant.
4. The Court finds that Ihb CoJUent Judsrnent should bo entered.
IT IS nm.RE.PORB ORDIUUID pursuant to lowa 1L Civ. P. 1.1501 et seq, that
Defendant IWd its principals, employees, agents, servants, representatives, subsidiaries. affilJates,
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successors, mans. parent or oontrolling entities, and an other persons, COrpomtiOllB and other
entitles miDg in concert or participating YIith De&ndant who have actual or oonstruotlvo notfco
Qr the Court'. htfunctlon are eIli~ ftum ongaslns In the acts and practices set £oJ11l In the
lettered subparagraphs below, to tho oxtw the conduct 10 qtre$11on Is directed to an Iowa resident
or performed by a person in Iowa In tho «lUt$O ofDefendMt', iUndraising. For p!UlI06e8 ofthls
injunctive paragraph and the lettered subparasraplJs:
"FtmtlroI.rIn[f means any and all fonns of ootl.citfng donations and/or mlatng
fUnds tor a donee organization, pursuant to aa agreement that provides iorer aUa
for how the proceeds offundtaising are to be divided between Defendant ad the
donee orsantzation; "fundraIsfns" JooIudes without lImltatioo tho Bide of ovent

tickets or other merchandise in connectfon with supporting a donee organization.
"TSK' stands for Telephone Sales RepresentatIve. and includes each person who
8CC8 for Defendant, whetfIeI" as an employee of D6~ as an independent
COIlfraatOl. Of as an employee ofan independont contmotor. in UBiog the telephone
~~~~~~~~~~~fi
"ConsImlet' includes each person who Is contacted by representatives of.
Defendant and is solicited to support a donee or~ by donating funds.

lJl8king a purchase, or otborwlso; "consumer" Includes any person from whom
such support Is so1i(;ited, whether or not the person in fact provides IUlY BUpport.
"Donee organlzatloJl' means any entity for which Defendant engages in
fundralslng.
A. Indkatlng that a TSR. js a membft ofa doDefl orsanJ!ation, or fs anytb.Ins other than a
paId prcfuslonal ihodfaiwwitb no oilier coonectIon to such entity.
B. Iodfoating that a substantial portion of a donatfon will go to the donee cuganhatiOJl, or
for acharftablo or other pwpose for wbi~h funds lIfO soHclted, .ifIn fact less than so % ot donated
funds go to IIQcb eSJtity or purpose after ~ has received its share. Without IimitfJIa tb8
ibregoiJlg. a repmentation by a TSR that a donor's cbeok or donation will be sent directly to the
donee organization, or that tho doDee orgauization controls the fimds. is misleadJns unless
accompanied by woo addiOOnaJ explanation or tho iOOJal distribution of donated funds 81 is
necwaIJ to S1a1o bow the .funds are divided.
C. Indioadng that the TSR. is oalliDg from some location ollIer than the IooatiOD from
which tho TSR In filet fa caJlins.

D. IDdlcatiug tha1 a donation wlll provido more of 8 beocfit to tho COJIlIIJIOer'S own
community than Js in faca the case.
E. MaJdns any abc .representation ofa maletfal100t In the course of funcfnlisin8.

F. FaIliDg to provide IUkquatc tnlln1ng and supetvislon ~ly desiped to prevent
TSR's from etJ88Bing in abusive telemarketing practlces, e.g., han&Jns up on co.llSU.lDerS; abuslvo
O'J' huulling remub; Ot retURnS to answer- proper Inqulriet.
0.. AttemptioB to co.llect from a consumer on a supposed pledae when in ftIct the Xentd
tepre.sentalive(s) ~ such Ilttempllmcw or should havo known that tho co~er did not
make the pledge in questIon unless it is estabUshed tblt 8uob attempt to collect was tho result ola
good £aith error.
H. Falling to state during a il.uldmlsing call nnd prior to any sollcltatlon offunds, that tho
C4Iler ill 8Il mlployee ofXente1 and that Xentel fB a profess.looal furuirajser.
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I. FundnIJs1o& OD behalf' or a 8lOOP that holds itselfout as oue represenlin& assistJD& or
as"ociDted with jlro flghters. In tho area served by a me departmen1, ff the head of such
department (typlca1Jy the Seo dUd) provlously bu submitted to De&adant a written request that
DeRmdant (or the donee ol'glUllzadon In question) not ralao funds there. PJaJntift" agrees not to
initiate contact with any department or Us oftlclaJs for the purpose of so!ldtlna the making of
written requms as referred to bernini however, notJllns herem ~ prevent Plaintiff from
otherwi!e lnfurtnina anyone ofany oftbo1cImS ofthfs Consent J'udgment
1. To 111& ment 1hat fundraJslnS is undertaken on bebalfofa group that holds ftself out as
one represerrtin& assisting, or associated with a particular oalegocy t)f law eafon:emem Of
emcrgenllY aemces (e.g., sherlff3J, sherifra deputies, pollee, state troopers. highway patro~
paramedics, cto.), fundraisi.v& h1 the coDllllUllity semd by a law enforcement or emetgency
services agency in tba same category, if tho heIuJ of sueh agency previously bas submitted to
l>eftodam bused on aood and proper WIse It written request that DefbuIant (or the donee
organization in question) not rals" funds thero. Ptalntiff 8Bfee8 not to Jnitiate comact with any
aaatcy or Jts offida}s for the purpose of eo1lclting the making ofwritten request! as reftm:d to
herelo; however, nothfng beJein shaD pteVeIII Pia.lntltf tl'om otberwlse Intarmlng anyauo of MY
oftbo terms oftbi8 Con&mt Judgment.
K. ProvidinS to TSRs. or IlIlY employee who direeUy supervises TSRs. any f()tm of
performallCe bonug, suoh as a pay boost, periodic bollus, or other fIlIanctallncentive, based on
tho number ofdonations or dollar vo1un1e of d01llUlons pledged. or tho number or dollar volume
of doDfttions received. unlw the provi9ion of sUclt peribrmanca bonus Is abo expressly
continsent on COmpJiIlllW by the TSR or supervisor receiving the bonus with the requirements of
~4-
1hI, «Instnt judgment. company pollcleB, procedures and pracdces establlshed and purSlWlt
hereto aod the lawa of thfs Stat\).

L. FaiUns to provide to the ollko of tho Iowa Marney Geaeml. within ten bu~ days
of recelpt of a written (Indud31l8 .fbJced or o-maUed) request from that o~ Il list of TSRs
(mcludiDg llISt known addresses and phone numbers, and beginning and endiJl8 date3 of
OOlployment) who left Defe.ndant at any timo In the sixty (60) days preceding ~ of the
request, provided however that such request be mado no ~ often than once ~ch cakndar year
unless triggered by a complaint ftom an lowa resident regardJng Defendant's fundtaiaing
PCKtices.
M. FalliDg to establlsh procedur~ poUcles and practices reasonably designed to ensure
that each telephone aU) made to IUl Iowa co.nswne.r is recorded, and that lIUCh recordings are
preserved intllCl for at least ninety (90) days.
N. Fa.Ulng to provide to the oftk:c of tho Iowa Attorney GentraJ. within five llusiness
days Clf reeelpt ofa written (UlCludins faxed Of o-mPlled) request from that ofIlc&, a fhlthful copy
of tho recording Df a tetephone soHcitUioa dlrected co ~ Iowa reBldent by an employee or other
rep~tive ofDef\lndam. To trigger th1s requ1rement, the Attorney General'" written. request
mlIBt provide tIKI Jl!lDle and telephone IIlm!ber of the Iowa resident, tile substance of the
complaint by the remdem (as close to verbatim a8 pOSIRllo), tlJ~ date of thll solicitation, and, if
pmct1cabl~ the IIPp~e tin:le of'tM solicitation, and JIl:Wt bo teeoived by Defendant (or
Defendan,'s oollnsel) plior to the nInety-first day after the call W88 made.
O. Falling within thirty (30) days of entry of this Consent Judgment to implement a
procedure under whioh Defendant's aupuvisoJY personnel Hsten to no fewer than ()ItEt hundred
(l00) caI1s per mmtth from eIloh «Ill contei' that is engaged in making calls to residents of rowa,
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and take appropriate measures to remedy ~ deviation on the part of TSRs ftom the
requirements of this Con&ent Judgment.
P. FalUn3 to adopt measures reasonably designed to ensure that aD indMduaJ do-oot-call

requesta from CODsumelS are fully aid immediately honored.
Q. FaJ.Ung within thirty (30) days of e1IlIJ otthls Conseot Judgment to implement hiring,
1t1Uning. supecvlsion, monItodn& compensation, Md subcontracting poHcies and pmctices
reaaonably desiilted to ensure that Defe!Jdantfs employees. subconttactors, 8IId other egents are
in full complianco with 'the iujuncmvo provisions of this Consmt Judgment that apply or may
apply to their conduct; provided, llowmr, that this subparllgfllph aba11l1Ot requlre such a de8l'e8
of control ovet' the policies and pw:t1ces of independent oontractors as would render IRIch
COJUtaCtors eroplpyees ror liability or other pu.rpow.

IT IS FUR'I'HER ORDERED ~ in addition to whatever other legal remedies may 00
available, a violation of this Consent 1udsmcnt conatltutes a violation of' tho Iowa Consumer
Fraud M Iowa Cod$ § 714.16 (2.003), and each violation by Defendant of this Consent
1udgment, In a Consumer Fraud Act Mtlon by the Attorney GetIetal that establishes such
violatfOD by a prepondenmoo of tho md~ may gMl riso to Il civil peaaIty In ~ bi,ghest
amcWl! provided for by Iowa Code § 114.16 (7), namely $40,000.00. To tho eouem thal Plaintiff
Invokes this provision In C<lnneWOIl with an alleged violation of subpuagraphs A through J
above, it will be a (lOmpleto do1VnsQ to tho imposJdon oftbo penalty des<:ribed In this panl8J1IPb
that the vioJation WIIS isolated and occurred in $pite of procedures and poHcles reasonably
designed to prevenlsuch violation•.
IT IS FURTHBR ORDERlID that Defendant pay to the Treasurer of the Sttrte $30,000
for the oonsumer Jiaud emorcemeDt:fund referred to in lowa Code § 714.I6A (2003) iR thteo
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equal JIIOJIthIy Installments of $10.000 commeooin, withln two wee1cs of tho entty of tbts
judgment.
IT IS FUR'mBR ORDBRBD that Defendant provide a copy of a concise IiUDlJlJUy
explanation of the provisions of tJlls Consent ludgment contonnl.ns to the dOCUttltnt attae&ed
hereto as ExhibIt A wfthio Bfteen (15) days after the Consent ludsmem b filed to each T~ and
that Deieodanl provide plalntiff wlthbt thIrty (30) days of rums tho affidavit or De&dant's
prealdCllt amstlns to having dono so; for pMSOm who are hired 01 moved into T8R posltlons
after tho fifl.. (15) day~ referred to above. De1Codant sba1I provldo them a copy of the
summary reiWred to above wbhI.n two (2) days of assuming tho position.
It IS PURTRBR. ORDERBP tbat Defendant distributo a copy oftlda COIISeOt 1mfsment
within fifteen (IS) days after its filing to cadl Xentd employee (If Independent conb'actor who
direcdy or JndUecdy 8Up61Vises tile ecdvities otTSRs ('"oovered posfdonf'), and tJJat DeWant
provide Plalntift'VJithin thirty (30) days oftillnS tho a1fidaYit 01 DefMdaDt's pmideut attesting
to Mvin8 exerted best efforts to ensure sueb dlstrlbution; for persons who are hIn:d or moved
Into <:overed posJtlOIl$ eftOf'tho fifteen. (IS) days refmed fO abo\'(\ Defendant 8haIl pro'lide them
Ia copy of the Consem 1udgment referred to above wilbln two (2) days ofasswn.blg the coveted
posiooll.
IT IS FVRTHBR OlW~ that tho Court retalnsjwiJdJction Cot pmpose8 of enforcing

thIa COnseDt Judgment
IT18 FURTHER. ORDBRBD thai Defettdanl pay the 0000 co

Dato: ---=t:.-:..'/_~;..,;.;/_'_()¥"'---___
Dato: I/·';f-or
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EXIIIDITA
SlJMMARY UPLANATlON OJ!
SETI'LEMENTAND CONSENTJUDGMBNTWlTK STATE OF IOWA
On , • 2004, BlI part or a settlement of a tawsuft tned by tho State of'

Iowa aPnst XentfJ, Ino., XMtd and tho SWo sweed to the provJsions or a consent judgment
requJrlllg employees or egeDta or Xeatel to Itftabt ftom ensaslna to oertain acta and pradices in
the oourse oftdephone 1bndraisfng. The prohibited acts and pract1c:es indudo the 1bllowlns:
J. IndIcaIIns 1hat a TeIepboH Sates Represerdative ("TSRj Is a member of a 4oneo
~OD, or Is anythlna ~ther than a paid pro18ssicmal1lmdralser wfth no other connottlon to
IIMlh eoJity.
2. lodicating t1rat a suktautial portion of a donadon wm
go to thlt donee
of88lllzatlOD, or fur arbaritabYe or other ~ for wblch flmds are soHcited.1t ill 1hct lc3s than
50 % (If donated funds SO to suell flDti1y or pwpostt after ~ baa nc:dYed b share.
Without lhnitIog Cbo foregoing. a representation by a TSR that a donor"s oheok or dODlltiOD will
be &eUt diredIy to tho Gonce orpaizatlon. or thai the doneo organi mt1on c:ontrol& the fimdJ, u
misJlI8dIns unless accomppied by such additional explanation of th., actuat d!stributioB of
donated funds as ill netesBaIy to state bow the fimda are dMded,
3. Jndkalbtg that tOO 'ISR.ls oall1og ftom some location oth\!C than tho Jooatlon ftom
which tho TSR. in 6Ict Is (I(I1Iina.
4. IndIcathl;g that a donation wm provide more of a benaftt to 'the ~8 own
COJllDlllDhythan is in 1ktt tho D8S0.
5. Making any flile representatlon of a material fact in tOO CO\lm offbndraisins.

6. Hansin3 up on comumem; abusive or bI.sultlns remarka; or retU sins to aMVer
proper lnqulMa.
7. Attemptloa to collect from a conaumec on a supposed plcdgo when mfk()t TSt(
kntw (If should have known tile consumer did DOt make the pledge in quesdon unles:I It Is
tstab1Jsbed ~ tho attempt to collect wu tho result ofa good &1th error.
8. F.nIna to "stAtcl durina a fUndr8lsblB oaIl and prior to any soHcltation offunds, that
the canft' la an employoe of Xenlel and that XesrteJ is • pro~ ftIndraistlr.
AI all employeo or &gam: of Xentel you are prohibited- both by law and the poJklos and
practfces of the company 1tom ensaafns in any of the aooV&-stated acts or pmotlces. Any
vlofBtion of these problbitio1lll eouJd result in legal Hability Of other consequ~ for Xeatd and
as & reeult, if you violate any of these rule8 rdatlns to fundr&lsins, you will bo subject to
inunedI~ dfsojplino up to snd including UImlnatiOll ofyour employment with the company.
515-281-5926
raisers as defined in Iowa Code Chapter 13C. Charitable oq:anizations as defined in this
raise funds.


OF THIS FORM.
Xente~, Inc.
place of business:
1011\TE 3rd Avenue, Suite #203

FOI't Laude.rdale, FL 33301-1104
----------~----------------------------------------------~j )
(954) 522-5200
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3. Form of business Corporation
~~~~~----------------------------------------
(Individual, Partnership, Business Corporation, Nonprotlt Corporation, etc.)
4. Identify the state in which registrant is organized or incorporated Delaware
F_e_b_TI_I_aI_1-"-o_2_2...:..,_1_9_9_9_ ____________
Date organized or incorporated__
Donna Wagoner, Director of Lieensing and Registration
101 ~TE 3rd Avenue, Suite #203, Fort Lauderdale, FL 33301-1104

raiser:
Please see attached list
raiser:
Please see attached list
d. The person(s) responsible for custody of the professional commercial fund-raiser's records :
Peter Pielstieker, Vice President Corporate Finance

8000 Jane Street, Tower A, Suite #401, Coneonl, OntaIio L4K5B8
raiser:
Eaeh individual charity has eontrol over their own bank aeeounts
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DYes 00'0 If yes, attach detailed explanation as to agency involved, date, court, claim and
S~~retary of State
J!t:lYes DNo If yes, attach a list of all other states.
DYes ~No If yes, attach a detailed explanation.
Xent-el, Ine. has entered into voluntary eomplianees in CO, 1\{O, TIT, ND, G~ OR
OR, SC, IA and P A where there was no finding of wI"ongdoing. Please see attaehed
list.
any time?
DYes ~No
13. Does registrant anticipate that any of the services it wUI provide to charitable organizations will
DYes KINo If yes, please identify the charity and the subcontractor below: (Attach a
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Charity
OO'es DNo DAttached
will be soliciting money in or from Iowa. all have been filed
SIGNATURE
Date April 12, 2010 Donna 1\£ Wagoner

Name (Print)
DiTector of Lieensin~ and Registration
State of Florida
County of Broward
Signed and sworn to (or affirmed) before me on April 12, 2010 (date) by
_D_o_nn_a_1\_L_W_ag-=-.·o_n_e_,r_ ______(names of person(s) making statement).
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(Seal)
ature of Notary Public)
y commission expires CI h f / .;Jo,·

,
3
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#5 Officers and Directors
Officers of Xentel, Inc.

Michael P. PIa(z, Chairman of the Doard
u.s. 101 NE3 nl Avenue, Suite #203
Ft. Lauderdale, Florida 33301
(954) 522~5200 extension #110
Canada 8000 Jane Street, Tower A, Suite #401
Concord, Ontario IAK5B8
(416) 633-4646
JI1j kcp@xenlel.coUl
Residential 929 Crozier Court
Mississauga, Ontario L5H2T2
David Winograd, President

312 East Wisconsin Avenue Suite #314
Milwaukee, Wisconsin 53202
(414) 271-2520
davidw@xentel.com
Residential 10124 North Anne Court
Mequon, WI 53092
Peter PlelsticI<er, Vice President, Corporate Finance and Assistant Secretary

8000 Jane Street, Tower A, Suite #401
Concord, Ontario lAK5B8
(416) 633-4646
pelerp@xentel.coJl1
Residential: 31 Amberhill Trail
Brampton L6R 2R7
Debbie Bloom, Secretary

8000 Jane Street, Tower A, Suite #401
Concord, Ontario IAK5B8
(416) 633-4646 extension # 236
debl>ieb@xelltel.c0111
Residential 18 Rollingwood Drive
North York, Ontario M2H2M5
#6B
Officers and Supervisors in charge of Day to Day operations
Mlchnel P. Platz, Chairman of the Board
101 NE 3,d Avenue, Suite #203
(954) 522~5200 extension #110
III ikep@xenlel.colll
David Winograd, President
(414) 271-2520
davidw@xentel,com
Matt McFall- District Supervisor East Central Division
1061 Main Street 2D31
North Huntingdon, PA 15642
(724) 515-3108
Jlwtt IlI@XellteJ,COIl}
Jose Quinones, District Supervisor South East Division
3542 South University Drive
Davie, FL 33328
954·423~3535
joseg@xentel.coJll
Charlie Jaoklns, District Supervisor Wisconsin Division

3942 North 76th Street
Milwaukee, WI 53222
414-438-4300
charlicj@xenlel.com
Wayne Loring, Director US Operatlons

10 1 NE 3,d Avenue, Suite #203
(954) 522-5200 extension #116
waYl1el@xentel.com
Donna Wagoner, Director Legislative Affairs

101 NE 3111 Avenue, Suite #203
(954) 522-5200 extension #109
dOIlIl:lW@xenteJ,com
Sue Wood, Corporate Relationship Analyst

(414) 271·2520
sllew@xenrel,colll
#6F
Supervisors and Managers in charge ofsolicitation activity in Iowa:
Charlie Jankins, DisU'ict SupeniS01" Wisconsiu Division

323 North Sawyer Street
Oshkosh, WI 54902
920-236-9058
920-236-9059 Fax
charliei@xenlel.colll
Residential 375 North Westhaven Drive #203
Address Oshkosh, WI 54904
Oshkosh, WI Ken Kraus, Branch Manager

Office 323 North Sawyer Street
Oshkosh, WI 54902
920-236-9058
920-236-9059 Fax
keIlk@xellleLcolll
Residential 4895 Country Road East
Addres9 Oshkosh, WI 53225
St. Joseph, MO Roy Ashby, Branch Manager

Office 2300 Frederick Avenue, #101
St. Josepb, MO 64506
816-233-6651
roya@xenlel.com
Residential P.O. Box 547
Address Elwood, KS 66024
West Allis, WI Joe Blanco, Branch Manager

Office 9330 West Linco]n Avenue, Suite #22
West A1lis, WI 53227
414-431-1443
joeb@xentel.colll
Residential 2929 West Hayes Avenue
Milwaukee, WI 53215
#12
During the caging process we have custody of the funds. We open the mail, enter it into our system and deposit
the checks into the bank account. Checks are made payable to the organization and the bank account is in the
name and under the sole controVcustody of the charitable organization we represent.
#13 Charitable Organizations we represent in Iowa

,.Yeterans of Foreign War, Department ofIowa Federal Tax ID #42-0331186
3601 Beaver Avenue
Des Moines, IA 503 10
Jerry Frederickson vfwidwa@prodigy.net
515-255-2139
Contract Dates: Commencement: 111105 Termination: 12/31 /06 auto renews for one year periods
unless either party cancels with 30 day written notice of their intention not to renew.
Terms: - VFW is guaranteed $2,000.00 payable in quarterly installments of $500.00. Xl also will publish and
distribute The Iowa Voice Newspaper four times per year.
Bank Account: Chase (Bank One) - Account #684534753
III East Wisconsin Ave
Milwaukee, WI 53202
~MVETS, Department of Iowa Federal Tax ID #42-0643427

5826 Caldwell Road
Coggon, IA 52218
Rex A. Romack
Contract Dates: Commencement: 611 104 Termination: 5/31108
NEW CONTRACT SIGNED: 611108 5/31111
Terms: - Iowa AMVETS are guaranteed $20,000.00 payable in quarterly installments of$5,000.00. XI also
will publish and distribute 8500 copies of the AMVETS publication and the convention yearbook.
Bank Account: TCF Bank - Account #373066185
500 West Brown Deer Road
Milwaukee, WI 53217
.) AMVETS, American Veterans Federal Tax ID #53-0176836

4647 Forbes Boulevard
Lanham , ~ 20706
Velma Hart
410-224-0343
Contract Dates: Commencement: 111 /04 Termination 12/31/06
New Contract 211 /07 12131109
Contract Extended Thru: 12/31 / 10
Terms: client is guaranteed $650,000.00 per year against 12% of the gross
111 East Wisconsin Ave
Milwaukee, WI 53202
~ational Association of Police Athletic/Activities Leagues, Inc. Federal Tax ID #22-1838364

Jupiter Park Plaza
654 Indiantown Road, # I 05
Jupiter, FL 33458
561-844-1823
561-863 -6120 fax
Contract Date: Commencement: 51l/2005 Termination: 4/30/2010
Contract Extended Thru 4/3 Oil I
Terms: YEAR 1 - 3 (5/1/05 - 4/30108) Client is guaranteed to receive $500,000.00 per year payable in monthly installments of
$41 ,666.67.
YEAR 4 (5/1/08 - 4/30/09) Client is guaranteed to receive $275,000.00 per year payable in monthly installments of$22,916.67.
Against 14% of the gross amount of monies collected whichever is greater.
YEAR 5 (5/1/09 - 4/30/10) Client is guaranteed to receive $275,000.00 per year payable in monthly installments of$22,916.67.

YEAR 6 (5/1/10 - 4/30111) Client is guaranteed to receive $125,000.00 per year payable in monthly installments of$10,416.67.
Bank Account: Chase (Bank One) Account #684534065
III East Wisconsin Avenue
Milwaukee, WI 53202
/
Military Order of the Purple Heart Service Foundation, Inc. Federal ID #39-0983584
7008 Little River Turnpike, Suite I
Annandale, VA 22003
Richard Gallant, President
703-256-6139
Contract Dates: Commencement: 7/1/05 Termination 6/30/06
Contract extended thru 9/30/06 on 6/30/06
Contract extended thru 12/31/06 on 9/30/06
New Contract Signed Commencement: 7/1/06 Termination: 6/3 Oil 1
Terms: Client is guaranteed $600,000.00 per year
Milwaukee, WI 53217
,1The Committee For Missing Children, Inc. Federal Tax ID #58-2215576

242 Stone Mountain Street
Lawrenceville, GA 30045
David Thelan, President
678-376-6265
678-376-6268 fax
New Contract Signed: 111107 12/31109
New Contract Signed: 111110 12/31/12
Terms: Client receives 12% of the gross amount of monies collected and Xentel, Inc. receives 88%
Bank Account Bank Of America Account #003449021799
One Financial Plaza,
,..Veterans Assistance Foundation, Inc. Federal Tax ID # 39-1798221

8444 County Road M
Fredonia, W1 53021
Contract Dates: Commencement: 61l/04 Termination 5/31107
NEW CONTRACT SIGNED 6/1/07 5/31/10
Terms: Client is guaranteed to receive $100,000.00 per year payable monthly installments of$8,333.33 or 10%
of the gross revenue whichever is greater.
Bank Account: State Bank of Newberg Account #344-073
164 Main Street
Newberg, W1 53060
( Foundation for Iowa Jaycees Charities Federal Tax ID #42-1866869

115 West 3rd Street North Contract wa s not renewed. Expired on 12131106
Newton, IA 50208
Terry Rickers, President trlaw@pcpartner.net
515-423-5406
Contract Dates: Commencement: 111/04 Termination: 12/31/06 auto renews for one year periods
Terms: - HC receives $15,000.00 per year payable in four quarterly installments of $3,750.00
Milwaukee, WI 53217
/
lietnam Veterans oflowa, Inc. Federal Tax ID #31-1564630
210 Walnut Street, Room 1025 Contract was not renewed. Expired on 12/31/06
Steve Mulcahy, President vvaia@aol.com
515-287-6624
Contract Dates: Commencement: 1/1/05 Termination: 12131/06 auto renews for additional one year periods
Terms: - Iowa VV is guaranteed $25,000.00 annually against 10% of the gross amount of monies collected
whichever is greater.
Milwaukee, WI 53217
/International Law Enforcement Games, Inc. Federal Tax ID #31-1292575

2014 Kenneth Street CONTRACT CANCELLED 12/31/08
Norman Demers, President
904-396-9977
Contract Dates: Commencement: 4/1/05 Termination 7131/06
Contract Extended Thru 7/3 1107 Thereafter contract will
auto-renew for one year periods unless either party cancels with 60 day written notice.
Terms: Client receives 13 Y:z% of the gross amount of monies collected we then invoice for 86.5% out of which
all expenses are paid. Once expenses are paid the net is xentel's profit
Bank Account: South Trust Bank - Account #36794960
2031 Hendricks Ave
National Wheelchair Basketball Association Federal Tax ID #36-2884730

6165 Lehman Srive, Suite # I 0 I Contract cancelled 7131/07
Colorado Springs, CO 80918
Ian Jaquiss, President
719-266-4082
Contract Dates: Commencement: 911 105 Termination 6130108
Terms: - guaranteed $7,000.00 per month - Client invoiced an all inclusive fee for service of $45.00 per
acquisition line Hour and $58 .00 for Retention line hour.
111 East Wisconsin Ave
Milwaukee, WI 53202
hildren's Leukemia Research Association, Inc. Federal Tax ID # 11-2106778

585 Stewart A venue, Suite 18 Contract not renewed
Garden City, NY 11530
Allen Weinberg, President
516-514-6968
Contract Dates: Commencement: 1111104 Termination 12131106
Contract Extended Thru 6130107
Terms: Client is billed an all inclusive fee of $45.00 for acquisition line hour calling and $58.00 for retention
line hour calling. Client is guaranteed to receive $100,000.00 dollars annually. They are also guaranteed to
receive no less than 10% of the total gross amount of monies collected
Bank Account: Bank of America Account #0054962431
1 Financial Plaza
/
American Foundation for Children with Aids, Inc. Federal ID #30-0247823
769 Grant Street Contract cancelled 6/30/07
Lawrenceville, KS 66044
Tanya Weaver, Deputy Director
888-683-8323 717-489-0214 Fax
Terms: guaranteed $7,000.00 per month - Client invoiced an all inclusive fee for service of $45.00 per
acquisition line Hour and $58.00 for Retention line hour. Client is guaranteed to receive no less than 10% of the
gross amount of monies collected.
111 East Wisconsin Avenue
Milwaukee, WI 53202
he National Cancer Coalition, Inc. Federal Tax ID #76-0435022

757 St. Charles A venue #202 Contract ancelled 6130/07
New Orleans, LA 70130
Robert B. Landry III, President and CEO
504-301-1461
Terms: Client receives 15% of the gross amount of monies collected and Xentel receives 85% out of which all
fundraising expenses are paid.
Bank Account: Chase (Bank One) - Account # 684533961
Milwaukee, WI 53202
United Breast Cancer Foundation, Inc. Federal Tax ID # 11-3571208

223 Wall Street, Suite #368 Contract cancelled 6/30/07
Huntingdon, NY 11743
Contract Dates: Commencement: 10/1/05 Termination: 9/30/10
Terms: Client is billed an all inclusive fee of $42.50 for acquisition line hour calling and $58.00 for retention
line hour calling. Client is guaranteed to receive no less than 20% of the total gross amount of monies collected
Bank Account: Chase Bank (Bank One) Account #650560477
Milwaukee, WI 53202
) !"e<kan Ex-Pd,on." ofWa, S• .-vk. Foundation, In" Federal Tax ID #75-272273

1393 Trapelo Road Contract not renewed
Waltham, MA 02451
William Bearisto, President
781-891-8240
Contract Dates: Commencement: 7/1/04 Termination: 6/30/06
Contract Extended Thru 6/30107
Terms: Client is guaranteed $175,000.00 for period 7-1-04 thru 6-30-05 $200,000.00 for period 7/1/05 thru 6/30/06. Contract extended
thru 6/30/07 and for period 7/ 1/06 thru 6/30/07 guarantee is $100,000.00. Xentel also agrees to publish and distribute the POW Newsletter.
Bank Account: TCF Bank- Account #3731884186

Milwaukee, WI 53217
The Cancer Recovery Foundation of America Federal Tax ID #33-0418563

6380 Flank Drive, Suite #400 Contract Cancelled as of 12/31106
Harrisburg, PA 17112
Contract Dates: Commencement:9/l/05 Tennination: 12/31/08
Terms: Client is billed an all inclusive fee of $42.50 for acquisition line hour calling and $58.00 for retentionline
hour calling. Client is guaranteed to receive no less than 12% of the total gross amount of monies collected
Milwaukee, WI 53202

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CHARITABLE ORGANIZATION FINANCIAL INFORMATION

NOTE: THlS FORM MUST BE COMPLETED FOR EACH CHARITABLE

ORGANIZATION THAT RECEIVES FUNDS SOLICITED IN OR FROM rOWA

Instructions. To help us handle yuur registration:

I. Please download/print thi,~ t()J'Jn.

J. Name of Professional Fund-Raiser: Associated Community Services

1\ . Name: Vietnam Veterans of Iowa, Inc.

B. Address and telephone number of the charitable organization :

210 Walnut Street, Room 1045

Des Moines, IA 50309

~ond Hutchison 515-323-7549

Yes B If no, attach a copy of the contract to this form.

5. Soliciting will be conducted by (Check one or more that apply):

CTelephoii) Door-to-door Electronic Media (TV, radio) Direct Mail

Print media (magazines, newspapers) Other

a. Address of telephone room (Include street, city ancl state): _ _ _ _ _ _ _ _ __ _ _

b. All telephone number(s)from which solicitations are made: _ _ _ _ _ _ _ _ _ _ __

c. Name(s) of manager(s) and/or supervisor(s) of the room: _ _ _ _ _ _ _ _ _ _ _ __

b. All telephone nUl11ber(s)from vvhich solicitations are made: _ _ _ _ _ _ _ _ _ __ _

c. Name(s) ofmanager(s) and/or supervisor(s) of the room: _ _ _ _ _ _ _ _ _ _ _ __

Tickets to an event Advertising space in a program book, journal, or other

Other (descri be)_.,..--,-_,-----,-----_-----:-,--------,-_ _--,----::_ _---,---_ _--=--_---,,--------:-_______- - ­

The PMB then forwards mail to Associated Community Services for

Professional fund-raiser Both or either

Neither (please explain)

a. Total amount ofll1oney collected by the professional commercial fund-raiser in

c. Itemize how the professional commercial fund-raiser expended the funds:

(I) Total given to charitable organization _ _ _(I:

other applicable categories: salaries/commissions/compensatiOl1; rent/mortgage;

transportation; professional services (attorneys, accountants, etc.);

ad verti si ng/ promot ion, etc.:

statement made and each answer given is true to my own knowledge.

Subscribed and sworn to before me on /- ~O 7

Notary Public, State of Michigan

My Commission Ex~S Sep. 4,

From: steven .mulcahy@va .gov

To: willie501 @aol.com

State ment o f Purpose

Vietnam Veterans of I owa

The Io wa Vietnam Veterans of Iowa was formed as a fundraising arm for

Steve Mulcahy, President

http://webmail-vma.webmail.aol .com/222S0/aol/en-us/mai I/displ ay-message.aspx 1/1712007

Antonio G. Lia Dearborn

23400 Michigan Avenue P-12 MI 48124

John 1. Lucidi Southfield

29777 Telegraph Rd., Suite 3000 MI48034

Nikole Luton Dearborn

23400 Michigan Avenue P-12 1\11 48124

Richard Garon Southfield

29777 Telegraph Rd., Suite 3000 MI48034

Scot S Stepek Southfield

29777 Telegraph Rd ., Suite 3000 l\!Il 48034

LIST OF PHONE ROOIVI LOCATIONS

29777 Telegraph Rd ., Suite 3000 Southfield

23400 Michigan Avenue P-12 Dearborn

ASSOCIA TED COMMUNITY SERVICES, INC., (hereinafter referred to as

"ACS") and VIETNAM VETERANS OF IOWA, INC., a non-profit veterans

a) For ACS to conduct on behalf of VVIA a public relations and sponsorship

b) For ACS to serve as VVIA's exclusive representative to locate telemarketing

2. USE OF TELEMARKETING: It is contemplated by and between the parties

3. DURATION OF AGREEMENT: This agreement shall become effective on

4. DUTIES AND OBLIGATIONS OF ACS: ACS hereby acknowledges and

Those parties contacted by ACS, who express interest in supporting

Other (descri be)_.,..--,-_,-----,-----_-----:-,--------,-_ _--,----::_ _---,---_ _--=--_---,,--------:-_______- -