20
FOR INSTRUCTIONS, SEE BACK OF FORM DISCLOSURE SUMMARY PAGE COMMITTEE NAME (Must be same as on Statement of Organization) O I G1'( /41 o Y 9412 IMPORTANT: Indicate by * type of committee you are reporting f6r : (1 )Statewide/Legislative/Judge Standing for Rete ' n Candidate ( 2 )State PAC (3 )State Party (4 )County Central Committee (5 )County Candid act ', -Candidate (7 )School Board or Other Political Subdivision Candidate (8)County PAC 9 ., . E , .I Board or Other Political Subdivis ion PAC 11 Local Ballot Issue Late reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code section 68B .32A(7) the candidate, for a candidate's committee, and the chairperson, for any other type of committee, is the indivi ,sponsib for filing tire* anr_pccurate reports . SIGNATURE OFP FLING T I AM FILING A OG I ~ 4 01 - (l i 200-6 (report date) OCHECK IFAMENDMENTTO REPORT DATED Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. (You must continue to file reports until a DR-3 is filed .) SUBTRACT TOTAL MONEY SPENT THIS PERIOD 7~z . a 4 `6/ TELEPHONE REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR. Indicate by # IZI STATEMENT OF CASH ON HAND CASH ON HAND at the beginning of the reporting period . (Total of all funds hell by the committee . This amount MUST be the same as the cash on hand at the end of the last reporting period or must be zero if this is first report filed .) ...... . ...... .. . ....... . ................ .. ....... $ ADD TOTAL MONEY TAKEN IN THIS PERIOD Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below) .. .. ....... . ...... . ...... Schedule F: Loans Received total (Attach Schedule F) ..... .. ...... .. . ...... .. ........ . ........ . ....... . ...... .. . ....... . . .... Schedule H : Total Sales of Campaign Property (Attach Schedule H) ... . .............. .......... . . . ...... . ....... .. .... (Schedule H applies to Candidates' Committe es_ Only) SUB-TOTAL . .... .... ... ... ... . .. .. $ Schedule B : Expenditures total (Attach Schedule B) ("*also see debts and bans below) ..... .. ...... .. . .. Schedule F : Loan Repayments total (Attach Schedule F) ...... . ........ . ................ . ...... .......... . ...... .. . ..... . .... CASH ON HAND at the end of this reporting period (if final report balance must be zero) (Attach DR-3). . ...... ............ .. ..... ...... .. . ........ . ...... . . . ....... ... .... . . ........ ........ . ...... .......... . .... .............. .$ "UNPAID BILLS (From Schedule D - Attach Schedule D) ..... . ....... .. ....... . ........ . ....... . .. ...... . ....... ... ...... . .. ...... .. ....... .$ "IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ....... . .. ...... . ....... ... ...... . .. ...... .. ...... . .. ...... .. ..... .. .$ '"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .......................... . ......... . ...... . ......... . ......... ...... . .$ YES CONSULTANT BREAKDOYVN (Schedule G Attached?) CANDIDATE COMMITTEES ONLY: VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year. FORM DR-2 I DISCLOSURE (Rev . 12/2005) REPORT For Office Use Onlv Comm . Logged I45 Scanned Computer Audited File with : Iowa Ethics and Campaign Disclosure Board 510 E . 12"', Ste . 1A Des Moines, Iowa 50319 Fax : 515-281-3701 DATE SIGNED Local Committees, enter Date of Election County 3 Local Committees, enter County in which Election is held 29, 00 Lo, -7 29 4 0T9 . 850 . ( I y 96 - NO 0

DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

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Page 1: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

FOR INSTRUCTIONS, SEEBACK OFFORM

DISCLOSURE SUMMARY PAGECOMMITTEE NAME(Must be same as on Statement of Organization)

O I

G1'( /41oY9412IMPORTANT: Indicate by * type of committee you are reporting f6r :( 1 )Statewide/Legislative/Judge Standing for Rete

' n Candidate ( 2 )State PAC (3 )State Party(4 )County Central Committee (5 )County Candid act

', -Candidate (7 )School Board orOtherPolitical Subdivision Candidate (8)County PAC

9

., . E

, .I

Board or Other PoliticalSubdivision PAC

11

Local Ballot Issue

Late reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code section 68B.32A(7)the candidate, for a candidate's committee, and the chairperson, forany other type of committee, is theindivi

,sponsib

for filing tire* anr_pccurate reports .

SIGNATURE OF P

FLING

T

I AM FILING A

OG I ~4 01-

(l i

200-6(report date)

OCHECK IFAMENDMENTTO REPORT DATED

Check if this is final (termination) report and attach Notice of Dissolution Form DR-3.(You must continue to file reports until a DR-3 is filed .)

SUBTRACT TOTAL MONEY SPENT THIS PERIOD

7~z. a 4`6/

TELEPHONE

REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.Indicate by # IZI

STATEMENT OF CASH ON HANDCASH ON HAND at the beginning ofthe reporting period . (Total of all funds hell by the

committee . This amount MUST be the same as the cash on hand at the endof the last reporting period or must be zero if this is first report filed .) . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . $

ADD TOTAL MONEY TAKEN IN THIS PERIOD

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

(Schedule H applies to Candidates' Committe es_Only)

SUB-TOTAL . .... . . . . ... . .. . . . . .. . . $

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

Schedule F :

Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . .

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

"UNPAID BILLS(From Schedule D - Attach Schedule D) . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . ... . . . . . . . .. . . . . . . .. . . . . . . . .$"IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . .. . . . . . . . . . . . . . . ... . . . . . . . .. . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . .. .$

'"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .$

YESCONSULTANT BREAKDOYVN (Schedule G Attached?)

CANDIDATE COMMITTEES ONLY:

VALUE OF CAMPAIGN PROPERTY(From Schedule H - Attach Schedule H)

STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year.

FORM

DR-2

I DISCLOSURE(Rev . 12/2005)

REPORT

For Office Use OnlvComm .Logged I45Scanned

Computer

Audited

File with :Iowa Ethics and CampaignDisclosure Board510 E . 12"', Ste . 1ADes Moines, Iowa 50319Fax : 515-281-3701

DATE SIGNED

Local Committees, enter Date of Election

County 3 Local Committees, enter County inwhich Election is held

29, 00

Lo, -7

29 4 0T9 .

850. ( Iy96

- NO

0

Page 2: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

For Instructions, SeeBack of Form

CONTRIBUTIONS - MONEY TAKEN IN(Including candidate's personalfunds)

COMMITTEE NAME (Must be same as on Statement of Orgenizetion)

L-eflds7

o P L-n

orjOt'lf7STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), UST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS ANDCAMPAIGNDISCLOSURE BOARD.

CAUTION: Section 88B.32A(8), Iowa Code, prohibits the use of information copied from reports and statements forsoliciting contributions orfor any commercial purpose by any person other than Statutory polKksll committees .

SUB-TOTAL

_ GJOtJ :-TOTAL (Nlast page of this schedule)

$Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the

committee . Relationship must be shown to thethird degree of consanguinity (blood relatives) and affinity (relatives bymarriage) . If surname of contributor is the same as candidate, but there is no

Page

offamilial relationship, enter "not applicable" in the relationship column .

(for Schedu

SCHEDULEA MONETARY

(Rev. 07/03) RECEIPTS

a CHECK THIS BOX IFAMENDING FORM

DATERECEIVED

PAC ID NUMBER(if applicable)

NAME ANDADDRESS OF CONTRIBUTOR RELATIONSHIPTO CANDIDATE'

AMOUNTRECEIVED

J IF FORFUND-(MM/DD/YR) AND PAC CHECK

NUMBER(ifapplicable) RAISER

INCOMEID# q -73p p-lof,~ e. s Fo r ~o ct,~ ,A =1ff C;06 ~,CK#

MID iMo+~as~ 'a o2 IL~D ,

ID# /Vo,fy :s X -14h r-i A:~P=CK# --

ID#

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ID# 6pS~ y,~,,~ol7tirrl, +Jr' /4 K7~ ~ela~`` cK# .2,Y72- /l~l of,~.e.~.

hadpeak rPp:

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Page 3: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

For Instructions, See Back of Form

CONTRIBUTIONS - MONEY TAKEN IN(Including candidate's personal funds)

COM ITTEE NAME (Must be same as on Statement of Organization),~ 1

~

a

,"H~

DYSTATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

CAUTION : Section 88B.32A(8), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees.

SUB-TOTAL /

TOTAL (IflastpageW fink schedule)S

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee . Relationship must be shown to the third degree of consanguinity (bk)od relatives) and affinity (relatives bymarriage) . If surname of contributor is the same as candidate, but there is no

Page_~offamilial relationship, enter 'not applicable' in the relationship column .

(forSchedule

SCHEDULEA MONETARY

(Rev . 07/03) RECEIPTS

Q CHECK THIS BOX IFAMENDING FORM

DATERECEIVED

PAC ID NUMBER(if applicable)

NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIPTO CANDIDATE'

AMOUNTRECEIVED

J IF FORFUND-(MM/DDfYR) AND PAC CHECK

NUMBER(if applicable) RAISER

INCOMEID#

g-iz -raC CK0

A-,OWA.) Tat.. ''c)2oID# /,-. a--(,' Aka-%4 S?q%rtfr

"Z �0c CK# AJI 24 W is-5 1',x, 200S'b iAID# /Coc& -7-%0,-'?' ps owl

4 CK# 313 E" 1S aly-w "w~~~ mar^vv

(e~,~"

ID# 4 rNd Q at- JvU4RK eu~ID# AA

,4. d, MIr S -9

CK# 3yob w RJ4

~. ~S 0bw -roL7 9o>4 1IDO

f2,41C i-wID# R2.ut M"0, 4./i1t,MCK# AFI;Z~4 1j;e a"A- A)

wTovoID# V~ t 0e-0..V\.

df7/

/;S o

wID# 4.C-/0 G wr-A

I.rarer

CK# /V Fakes U

Page 4: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

For Instructions, See Back of FormCONTRIBUTIONS - MONEY TAKEN IN(Including candidate's personal funds)

COMMxTEE NAME (Must be same as on Statement of Orgenizefion)

tlr~~S '~ //lSTATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF IDNUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

CAUTION : Section 88B.32A(8), Iowa Code, prohibits the use of Information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees .

SUB-TOTAL

of We schedule)$

TOTAL (Iflestpage

Disclosure law requires candidate oorrsnMtess to disclose the relationship dany relative making acontribution to thecommittee . Relationship must ba shown to the third degree d consanguinity (blood relatives) and affinity (relatives. bymarriage) . If surname of contributor is the same as candidate, but there b m

Page~_of

~familial relationship, enter "not applicable" in the relationship column .

(for Schedule

)

SCHEDULEA MONETARY

(Rev. 07/03) RECEIPTS

CHECKTHIS BOX IFAMENDING FORM

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FORRECEIVED(MMIDD(YR)

(if applicable)AND PAC CHECK

TO CANDIDATE'(if applicable)

RECEIVED FUND-RAISERNUMBER INCOME

ID# M of (j ! 7D 7

-a CK# ~~o Za -0 $

;~s--ID# JpkeL. L" - -&Dent�n Ale 1Q . e.iP

CK# l309 ..~ ~ _ .6 w "M A"J a-a }c8'

g CK# OZ/ go Al G~-~t+Qso .r

M

g'rz,~c C'ID# o4d A ~» ~.AIth 5icu

~ CK#

CK#w7-0 4)/V14 S y`er,rs

.Z It CK# /3 aAm Cb Dlv7`o r~,.T~ Sa.'to~ID# ~",~..4Ff ~hOd

g-1L-46 CK# /?-OF .6. ~p --ID# CQf`I ~I~Gtl'CK# g a lPcu.Q...+~ u

Page 5: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

For Instructions, See Back of Form

CONTRIBUTIONS - MONEY TAKEN IN(Including candidate's personal funds)

COMMITTEE NAME (Must be same as on Statement of Orgenizedon)

All"e'hl&5 4'e -- ;frr Mo-r

R4111mt Form

STATECANDIDATES NOTE : IF ACONTRIBUTION IS RECEIVED FROM ASTATE PAC (POLITICAL ACTION COMMITTEE), LISTTHEPAC IDENTIFICATIONNUMBER ANDTHEPACCHECKNUMBER IN THE DESIGNATED COLUMN . A USTOF IDNUMBERS IS AVAILABLE FROM THEIOWAETHICS ANDCAMPAIGNDISCLOSURE BOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of Information copled from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees .

" Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree ofconsanguinity (blood relatives) and affinity (relatives bymarriage) .

If surname ofcontributor is the same as candidate, but there is nofamilial relationship, enter "not applicable" in the relationship column .

SUB-TOTAL$

ofWe schedule)$

TOTAL (lflastpage

Page of (9(for Schedule A)

SCHEDULEA MONETARY

(Rev. 07/03) RECEIPTS

CHECK THIS BOX IFAMENDING FORM

DATERECEIVED

PAC ID NUMBER(if applicable)

NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR(MM/DDYR) AND PAC CHECK

TO CANDIDATE'(if applicable)

RECEIVED FUND-RAISERNUMBER INCOME

1D# Y,CK# lD 4.ta W *-1 $

sa,,.at~'~_

ID# Ae, [, W : ISaK

ID# Ta R 1 4*. tk~ oGlippe'J EE1cK# D

ID#

CK#

ID#

CK# 33l

~1 Q-AAQl2-c~L cK#

a8ID# M1pR t DA

..T.*r.. s v SoID# T

r %fe CK#

ID# ~1mb~'a" Kol 9v S" ,N z3 CumA)

CK#

Page 6: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

For Instructions, See Back of Form

CONTRIBUTIONS - MONEY TAKEN IN(Including candidate's personal funds)

COMMITTE NAME (Must be some as on Statement of Orgenizedon)"

i c~ ds

b

oY -t17

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LISTTHE PAC IDENTIFICATIONNUMBER AND THE PAC CHECKNUMBER IN THE DESIGNATED COLUMN . A LIST OF IDNUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD .

CAUTION : Section 88B.32A(8), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees .

Disclosure law requires candidate committees to disclose the relationship ofany relative rnaking a contribution to thecommittee. Relationship rural be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage) . If surname of contributor Is the same as candidate, but there Is no

Page_.5-

offamilial relationship, enter"not applicable' In the relationship column .

(for Schedule

SCHEDULEA MONETARY

(Rev. 07/03) RECEIPTS

O CHECK THIS BOX IFAMENDING FORM

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP -AMOUNT4

IF FORRECEIVED Of applicable) TO CANDIDATE' RECEIVED FUND-(MM/DD/YR) AND PAC CHECK (if applicable) RAISER

NUMBER INCOMEID#

10)

ID# YICL

0e-7* .9~ her

'ly CK# 1d13 s. Gsa

ID# a ecK#

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g~ R-QhCK# 4 0I-orlD# ~e.h tz % 5 Gk.~f'en7e.~

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-

CK# U, (Sox '70lT

c'~

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Page 7: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

For Instructions, See Back of Form

CONTRIBUTIONS - MONEY TAKEN IN(Including candidate's personal funds)

COMMITTEE NAME (Must be some as on Statement of Orgenizedon)

SCHEDULEA

I MONETARY(Rev. 07/03)

RECEIPTS

Q CHECK THIS BOX IFAMENDING FORM

STATECANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM ASTATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER ANDTHE PACCHECKNUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THEIOWA ETHICS ANDCAMPAIGNDISCLOSURE BOARD.

CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees .

SUB-TOTAL

TOTAL (1llastpage ofWe schedule)owI 680

Disclosure law requires candidate oommittees to disclose the relationship of any relative making a contribution to thecommittee . Relationship moa-"e shown to the third degree of consanguinity (blood relatives) and affinity (relatives by

Dmarriage) . If surname of contributor is the same as candidate, but there is no

Page-4offamilial relationship, enter "not applicable" in the relationship column .

(for Schedule

DATERECEIVED

PAC ID NUMBER(If applicable)

NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR(MM/DD/YR) AND PAC CHECK

TO CANDIDATE"(if applicable)

RECEIVED FUND-RAISERNUMBER INCOME

ID# ,~'q t>ra s S'0014 33 V* $

CK# S // --,ID# Mare04

yrvod C-1 tniaL4,r- "ID# L?h Z G-~+

r') CK# 0AIV055 wQLtID#

CK# S~~S 4b~SA

I D# a~ s ~, s.,~aykscK# 8 do w a Ycok A Q.ID# Yz'

12, CK#bd

ID#

_-

ID# 07cK# cT4 sM" ~sC, Dee

at' Coa LID#

1"UID# ~~ ~c+nn DA :p -~~w ~--CK# 6 Q'r'It'VJ

O yi

Page 8: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

For Instructions, See Back of Form

CONTRIBUTIONS - MONEY TAKEN IN(Including candidate's personal funds)

COMMITTjE NAME (Must be same as on Statement of Ogi'zedon)

d JG17c1L

®

b~

STATECANDIDATES NOTE . IF A CONTRIBUTION IS RECEIVED FROM ASTATE PAC (POLITICAL ACTION COMMITTEE), LISTTHEPAC IDENTIFICATIONNUMBER ANDTHEPACCHECKNUMBER IN THE DESIGNATED COLUMN . A LIST OF IDNUMBERS IS AVAILABLE FROM THEIOWA ETHICS ANDCAMPAIGNDISCLOSURE BOARD.

CAUTION: Section 88B.32A(8), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions orforany commercial purpose by any person otherthan statutory political committees .

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bmarriage) . If surname of contributor is the same as candidate, but there is no

Page

offamilial relationship, enter "not applicable" In the relationship column .

(for Schedule A)

SCHEDULEA MONETARY

(Rev . 07/03) RECEIPTS

0 CHECKTHIS BOX IFAMENDING FORM

DATE PACID NUMBER NAME ANDADDRESSOF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FORRECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-(MM/DD/YR) AND PAC CHECK (if applicable) RAISER

NUMBER INCOME

4A -E $fl c

~~ ob tt_ID# .45hery# ,c~ c.. Occu .e..CK# //at :5--13ID# Ke-4(eA?

(~ CK# 7I JV f~Q+trt~

ID# L,of ,~i~~~

/tic i}7bet'?CK# E bno,)

ow peA[vID# QtS , YcK# ale

XZ>>11119ID# Yehn %S ! tC.x

~r CK# 33n

ID# ~ZOlfl¢.- w QYG

CK# lpkF Fr 4iJT~ID# g ti v

-kv,,A1 00~,

CK# ',~ DCi RZp

ID# Uac-~n,r ra, k sro/

CK# `

Page 9: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

For Instructions, See Back of Form

CONTRIBUTIONS - MONEY TAKEN INQncluding candidate's personal funds)

CO

ITTEE NAME (Must be same as on Statement of OrganizeUon)

r.'

a -17-w li~lO'~' fl

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LISTTHE PAC IDENTIFICATIONNUMBER AND THE PAC CHECKNUMBER IN THE DESIGNATED COLUMN . A LIST OF IDNUMBERS IS AVAILABLE FROMTHE IOWA ETHICSAND CAMPAIGNDISCLOSURE BOARD .

CAUTION : Section 6BB.32A(B), Iowa Code, prohibits the tss of Information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other then statutory political committees .

Disclosure law requires candidate oommittees to disclose the relationship of any relative nmqkIng acontribution to thecommittee . Relationship mast be shown to the third degree of consanguinity (blood relatives) And affinity (relatives by

Omarriage) . H surname of contributor is the same as candidate, but there is no

Page-

offamilial relationship, enter "not applicable' In the relationship column.

(for Schedule;%)

SCHEDULEA MONETARY

(Rev. 07/03) RECEIPTS

Q CHECK THIS BOX IFAMENDING FORM

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT ,1 IF FORRECEIVED (d applicable) TO CANDIDATE" RECEIVED FUND-(MM/DD/YR) AND PAC CHECK (if applicable) RAISER

NUMBER INCOMEID# A IRA) Da 4"

g la7 ~~o CK# d1 o3-/-4.9 Avos, S Ci/" --r wiv4 ddo

ID# V-cf7"a 41~"Artc~CK# //ow APT 3 /I

. c, AJTo !! .T~4'S~o o?D r'ID# abro4'k

CK# 56ID# ' k.rh Ro SS

~~S oID#

.210 10 1;NawTv0 Xa so''a~

1D# (plc - tort /VioRJ7ovdCK# rdfs -r4arnas qt'e KeWS* a

A C JAVa Zc-.srV XspID# Jrye-an %+.c LanhPNt

-PO ~IL CK# S«~/Fos~~ DeDes NW-pt &

ID# 8fe.-rrA . 7~&hnAtjCK# rlr j`d ;trv 9A

tv0, .7-L490- >.DrIDO 1N1 +~iM~ S ~ot~lQ-rfL

&.,rs Tr.

G~G CK# 9?s: 60 Ave.so

,&�610A X-'a- SID# t&4'm

G-'~ /-,pG cK#K~.,,v"fb S-b .-J~

Page 10: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

For Instructions, See Back of Form

CONTRIBUTIONS -- MONEY TAKEN IN(Including candidate's personal funds)

COMMITTEE NAME (Mustbe same as on Statement ofOrganization)

re, 44"~f aI

Pk rjew aq

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.

NOTE : ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILINGRESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD.

CAUTION : Section 68B.32A(6), prohibits the use of information copied from reports and statements for soliciting contributions or for anycommercial purpose by any person other than statutory political committees.

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by

Omarriage) .

Ifsumarne ofcontributor isthe same as candidate, but there is no

Page ,

,- offamilial relationship, enter "not applicable" in the relationship column .

(for Schedule A)

SCHEDULEA MONETARY

(Rev . 07/03) RECEIPTS

CHECK THIS BOX IFAMENDING FORM

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FORRECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-(MM/DD/YR) AND PAC CHECK

NUMBER(if applicable) RAISER

INCOMEID# LA, ; awt ~altMa-

'r ('a6 CK# 9l3 w " j ~t,J,~'v2o8" lv0

1'j('o6ID#

CK#

"zo /V- - E. 0u_ro -2s-:oo

q'Iz-OilID# ~f'

6'4iY&177A

0, Fct~'nJ,

~`ds~i~2 r 274 CS L4-01~CK# boo .ad

ID#

l l -o~ CK# 177.2 1Z c, _ 0''ly ~ 0 inil~

ID#1as151a ,- w- hrabjiZA, 6""1r4,f alrt .

f-0 - 80 10 2J-0 . 0CIV" 2--A ~~Ir

-.~ /- DZ7 4f~

CK# 3Sr~~~7rAV~

~f~ftZ P,¢2_~-0o. oo Ald ..) 4-r- , y Y /D 17

ID#perltnY ,R , osiol-K-

CK# loot 9 S- o9,- LA)

ID# 7 .705- -?4¢,

<Ar7OM P.¢G . wG

Ai ,4 vID#

~-2 0;6 CK# 14166 /1 A St -SW

A - ~7., o00ID# l&ywvand 4 A*tc1d-tTorL

~.ZF-0tp CK# -Z1 ~ r ji"~bt v°eTi~ .Dr-,_

Sl"! 4L, -6-000.9

Page 11: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

For Instructions, See Back of Form

CONTRIBUTIONS - MONEYTAKEN IN(Including candidate's personal funds)

COMMITTEE NAME (Must be same as on Statement ofOrganization)

rr;MA of -rim aor4

h

RosatFat=

STATE CANDIDATES NOTE: IFACONTRIBUTION IS REC1IVED FROM ASTATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER ANDTHE PACCHECKNUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROMTHEIOWA ETHICS ANDCAMPAIGNDISCLOSURE BOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions orfor any commercial purpose by any person other than statutory political committees .

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must beshown to thethird degree ofconsanguinity (blood relatives) and affinity (relatives bymarriage) .

Ifsurname of contributor is the same as candidate, but there is no

Page

(0

offamilial relationship, enter "not applicable" In the relationship column .

(for Schedule A)

SCHEDULEA MONETARY

(Rev . 07/03) RECEIPTS

CHECKTHIS BOXIFAMENDING FORM

DATE PAC ID NUMBER NAME ANDADDRESSOF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FORRECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-(MM/DO/YR) ANDPAC CHECK (if applicable) RAISER

NUMBER INCOMEID#

10-( -04 CK# ft%/0 .vQ z . $~d -Oo~o

l D# W 63" F

10-(0-06 CK# boo -5 _4 ~ . o0

la-(o -o.6ID#

s q~ s NYCK#

ID# Kt n'f1/0~!Z~o 6 CK# /7 sf .s-w

.~vo0 .20-00AID# 4lao'-I i Sfov4 Il

1=0:r4a6ac' (114 20 1ID# fcofl" ~ Ske, L,er;G`-a,KcP

Do0ID# Cr i C. ~Ol'S~^~ L1,CK# iri .i s-t- - s S0 .cam

o0oID# -

(0_Q-0(, CK# u~la ;-Fort . 2.e~( t~t-~ ,dk f .Za . ~c

ID#

CK#

ID#

CK#

Page 12: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

THIS BOX APPLIES TO CANDIDATES' COMMITTEES OILY:

Purchases of certain campaign property costing i500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions.)

Expenditures to persons/entitles providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized onSchedule G bythe amount, purpose, and data ofeach type ofexpenditure made by the person/entity on behalf of the candidate's committee . (Refer toSchedule G Instructions and Iowa Code 88A.A02(3)(i).)

(for Schedule B)

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES B MONETARY- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07/03) EXPENDITURES

STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TOSTATEWIDE OR LEGISLATIVECANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE D CHECKTHIS BOX IFPAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORMETHICS & CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Must be Same as on Statemen ofOrgenizedon)

7r~i .e4, A 64 rm (Q r' QI-vCANDIDATE NAME AND ADDRESS YO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDEDEXPENDED (if applicable) (Disbwasmenh WAS MADE(MM/DD(YR) AND PAC

CHECKNUMBER

ID#

7-l7-d~ CK#

?-11-0L CK#'~~~

,e-' 1 .~ / (Tha.~ic, Cdr' Siikts 24M-~02v

74q-06 CK# l SS .rA .3`ozo Sit, ; ~ ~aID#

IIF=0,6 CK# ll~ wZ="~SfiAl . Lgbe~S ~~i~S5.6 N _57b)c>

~.s P1?1~-06 CK# lost .2ISS .Z "=/ A''z -~ ~ff5

ID#Pl-iL~f"

11 .2Z3c~i-~~

St- L4 4a-6 '~ ~0i2f S OCK#

l~s- ~

o..u IZA

CK#

LAY1:~ 7. r7

. 1~ O d 1~'v i fafloaI D# ~or~ ~cci~ pYl~'Lt

-(-o,6 CK# /17 S . ,~. 7~-la6o

SUB-TOTAL $ 7q5-, 36

TOTAL (lf Isstpage ofdNs schedule) $

Page 13: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchases of certain campaign property coating $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)

Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services mustalso be detail itemized onSchedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's oornmittee. (Refer toSchedule G instructions and Iowa Code SaA.402(3)(i) .)

Page

2

of-

(for Schedule B)

FORINSTRUCTIONS, SEEBACK OF FORM ( SCHEDULE

EXPENDITURES B MONETARY- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. 07/03) EXPENDITURES

STATE PAC COMMITTEES : NOTE : FORCONTRIBUTIONS MADE TO STATEWDE OR LEGISLATIVE D CHECK THIS BOX IFCANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THEPAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORMETHICS d CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Must be same as on Statement ofOrganization)

[At r q tt"

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNTDATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED

EXPENDED (if applicable) (Dwbrnsemerrh WAS MADE(MWDDYR) AND PAC

CHECKNUMBER

ID# f/ -Oa x-

rot(0461 ti 1o az~

ID# td,,--A A n '/-"

CK# 1201 A/- 'VZV/G-,'~-(06), A4W4-)., s

ID# co I.~.e rta'~QrC K

CK# r0 r M q'Y4 ilTrI~b,OQ-3 fw- whvl7 4Tr J10,6 Lx--t 1 ( A

fY-3 "Ob CK# ~p6,~ l ~ 7 w a'"' Sfi . - Pvih ~" V i1-4 46 1j~

ID#

g3-~o cK#2(S-Sa",~AvS- F, _r4'e p

ID# rar"ies o1 Tic2 ,rr NIA( ,-016 cK# N- .2 'd AoQ 7t

l 6.6 ,vID#

/.x-06 CK# itl P~i-4tk eA4y ,10167 . 1:~t

ID# ac~G-47CD .

~d' ~GffCK#loi;Jl%r Av- - 0 . c~w'K-faz' _O

oSUB-TOTAL $

TOTAL ofIrst page of this whedule) $

Page 14: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions.)

Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing serves must also be detail itemized onSchedule G by the amount, purpose, and date of each type ofexpenditure made by the person/entity on behalf of the candidate's committee . (Refer toSchedule G instructionsand Iowa Code BBA.402(3)(Q .)

Page

9of _� 4

(for Schedule B)

FOR INSTRUCTIONS, SEEBACK OF FORM SCHEDULE

EXPENDITURES B MONETARY- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07/03) EXPENDITURES

STATE PAC COMMITTEES: NOTE : FORCONTRIBUTIONS MADE TOSTATEWIDE OR LEGISLATIVECANDIDATES, UST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IFPAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORMETHICS & CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Must be same as on Statement ofOrgenization)

6-iaAJ5 0 ~ i ~o r I vvCANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDEDEXPENDED (if applicable) (Dlsbtrtasrnerro WAS MADE(MM/DD/YR) AND PAC

CHECKNUMBER

ID# Ny~V,u ~r%C~s7Dre. rn raC~'SS+n.

&4 CA/Qu! S.~ i ~cf~ ".ra~ ~R i

ID# /<ei-fl, Nf)3-06 CK# /(/I A&dd Pb'ilicq l Cojtj4+i' l ~Os' y-S

1070 26 o- ~A SodID#

F-.23-P6 CK# IM¢ o~ Iowa ~~~~~ Ciw1 jt~ 00 00107

fQ3-C6ID#

CK#

op pi,lhf l4.261& Par.-/c e . ~~,Jik~ss ~.wp~5 7y 4fla7ZMu e4 ihg S .x.276

ID#o P PY7ilfl~ .7

TQ3-0f- CK# -Z61b At+ ,* Ae.-107 M rye rA 5 7

7-106

ID#

CK#

ll~~ ,fvl-Y ~kf~+' ris ~SS.zoo f.w .

)o-t.S-leo7 Ve~

wlI!rh~y P,~ptrQyr,,(071u

ID#1,+16Kja P lot,n1--

CK# 1109 Al . qA *e_W. *stirrli-4 k;r , e,Ass; f--,4-f- 1600 .0t

1,.s-o6 CK# l2 01 N' Y ,ova. u) ,of~i~2. J ~o~i2Jsa

SUB-TOTAL

i

$ .2j,01_

TOTAL (lost~ of this schedule) $

Page 15: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing SS00 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions.)

Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized onSchedule G by the amount, purpose, and daft ofeach type ofexpenditure made bythe person/entity on behalf of the candidate's committee . (Refer toSchedule G instructions and Iowa Code SW402(3)(i).)

b

(for Schedule B)

FOR INSTRUCTIONS, SEE BACK OF FORM Rom SCHEDULE

EXPENDITURES B MONETARY- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07/03) EXPENDITURES

STATE PAC COMMITTEES: NOTE : FOR CONTRIBUTIONS MADE TOSTATEWIDE OR LEGISLATIVECANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE D CHECKTHIS BOX IFPAC CHECK NUMBER FOR EACH EXPENDITURE . A LISTOF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORMETHICS 3 CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME Mustbe same as on Statement ofOrganization)

'4 7--ioL MrVZa-1--CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDEDEXPENDED (if applicable) (DfWr"trnerrq WAS MADE(MWDDYR) AND PAC

CHECKNUMBER

CK# /077 JaI IsTJ--t . A,/ , $ 9 00

,4.s-0

oID# cps PsCK# .z 1-5- -r .a V-pAve. F. Pos-~4~ e, ss-`

l0 7j, /V" r"4 S17ID# Iro r6 t-s 0 ,,;c k

-d=o6 CK# 0 71 I 1 ~W- a '='4 SfsZo C~7~ s ?_0.6

ID# VOok-Y E;ffffl-r viSaS_

CK# s2,co T.W. 3o -J4- 7 6441e- Tu ?b ,k So~od0 ~~~ oI- _'~ S.z o

ID#hs PS

CK# lot I Its- s' .

iD#Law 'S .Sf~vl ~°Sff d-

9-(3'ob CK# .~6ro ~' sf-S.w2 s; l 77-~-Z

to~~

s ~s {z)- hs.D#

to 5

iD# f~~s o.~fry. ~kr ~fc7-4-o6 cK# l oft /0Z N1 w2-

Salt_ -

SUB-TOTAL $ 6TOTAL (IfAsst page ofthis schedule) $

Page 16: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)

Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services mustalso be detail itemized onSchedule G bythe amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer toSchedule G instructions and Iowa Code 611A .402(3)() .)

Page

-5-

. of

(forSchedule B)

FOR INSTRUCTIONS, SEEBACK OF FORM SCHEDULE

EXPENDITURES B MONETARY- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. 07/03) EXPENDITURES

STATE PAC COMMITTEES: NOTE : FORCONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVECANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE D CHECK THIS BOX IFPAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORMETHICS d, CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Must be same as on Statement ofOrganizedon)

`%QMGCs o-F ~ M,9, I-- 9 wCANDIDATE NAME AND ADDRESS TO WHC)M PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDEDEXPENDED (d applicable) (Diabursemeno WAS MADE(MWDD/YR) AND PAC

CHECKNUMBER

iD# oftT(qo6 CK# -9oDC,i~sifYQ-~M~4x

+ SMati ~ . (r'tvtvrr~fiokf $

ID# (4sPs7;zo-o6 CK# ~IS-, ~"~~ o . ~oj4t2- ~ 5A-"1-5 /.2 s:3sto~~

iD#~or6QS aLU~k

Z2-o6 CK# f~7 w.1 .St. IV- Prig1D# vw 5~.~~

S~117 S.r L~ewa, VA D,1,

iD# ff.~ .co tw

TZ06 CK# i ~ ~9 S.2oo Y- (A) 30-124 52

7-43r-ob

1D#

CK# '~~~~ far (~r v~ D; rQCF mG1 j 12, 7?,6.6X/o a Mr..sc4 frhc 5-276

ID#OP P`--1h -f`7

10 -1-0 CK# l01o261& Ne(c

-54 S-2761D# A4-01^ Co .

1!Z3 /-~r Ana-,MAt7~"

F- S~`PPl- ,~ 'h~f1 !S1 -2 d'

CK# /oq

y s-008'SUB-TOTAL

TOTAL (Mist page of this schedule) $

Page 17: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

THIS BOXAPPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)

Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized onSchedule Gby the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Refer toSchedule Ginstructions and Iowa Code 68A.402(3)(i) .)

Page-of

(forSchedule B)

FORINSTRUCTIONS, SEEBACK OF FORM R~FOMl- SCHEDULE

EXPENDITURES B MONETARY-MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. 07/03) EXPENDITURES

STATE PACCOMMITTEES : NOTE : FORCONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVECANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECKTHIS BOX IFPAC CHECK NUMBER FOREACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORMETHICS 3 CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Must be same as on Statement ofOrganization)

fki114V, -77~i / (M-Y-42o

CANDIDATE NAME ANDADDRESS TO OM PURPOSE AMOUNTDATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED

EXPENDED (if applicable) (Disbursement) WAS MADE(MM/DD/YR) AND PAC

CHECKNUMBER

ID# Lt/ o4,wrtza? iv- qt/4-a, . w. l N,t~,rs~r-y-~~~ ~1-ss~S n~' $ IoGY~ .oc~CK#~ o~

sbzoID#

Can~'

_

/TwovfiSf '~ `TDCK# '+tl C-avrcH.tawlagID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

1D#

CK#

ID#

CK#

SUB-TOTAL $ lqo -00TOTAL (Iflast page ofthis schedule) $29, 05'1- o

Page 18: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

FOR INSTRUCRONS, SEE SACK OF FORM

COMMITTEE NAME (Mustbe same as on Statement of Organization)

I ~

o

TN2 / Cow 2w

NOTE: Debts previously reported that remain unpaid must

included on thisSchedule, aswell as any new obligations incurred in this period . Pima Fam

SCHEDULED INCURRED

(Rev . 0&98)1 INDEBTEDNESSaCHECK THIS BOXIF AMENDINGFORM

An "incurred debt" is a debt forDEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD

goods or services ordered or(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDULE F)

received, but rat paid for by theend ofthe reporting period .,regardless ofwhether an invoicehas been received

`If actual figure is unknown, show"estimated" beside the figure .

Page

of(for -Schedule)

CANDIDATE COMMITTEES NOTE:'Incurred indebtedness also includes each persontentity with whom the ca,xiidato's committee has entered into a contract during the reporting period for futureor continuing performance . Enter the name of the consultant who provides or procures services for items such as advertising, fund-raising, polling, managing, ororganmng services . Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant .

DATEINCURRED(MM/DDYR)

NAME AND ADDRESS OF PERSONTO WHOM DEBT OR OBLIGATION IS OWED

DESCRIPTION OFGOODS ORSERVICES PROVIDED OR

PURCHASED

BALANCE OWED ATCLOSE OFREPORTINGPERIOD'

l03- 0,6 S2no TV ~!-~P p~odu~foti- 7 0 .do

10-6 -06Vi ~'+f

5:z0L{Uh~

a s-Id - ,~ ZI of oz

A~*a fglqGwpa eAl 70-(l

SUB-TOTAL $

TOTAL DEBTS OWEDBY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

Page 19: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

FOR INSTRUCTIONS, SEE BACK OF FORM

COM 17TEE NAME (Mastbesame ason StatementofOrgankatfon)

o

Ti'vLt MoaQPL,-

SCHEDULEE IN-KIND

(Rev . 0619T/ CONTRIBUTIONS

CHECK THIS BOX IFAMENDING FORM

'Disclosure law requires candidates to disclose the relationship ofany relative making an In kind contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives

(for Schedule E)by marriage). (See Page 2of forms packet.) If surname of contributor is the same ascandidate, but there is nofamilial relationship, enter"not applicable" in the relationship column .

DATERECEIVED(MMIDD(YR)

NAME ANDADDRESSOF CONTRIBUTOR

RELATIONSHIPTO CANDIDATE' (if applicable)

DESCRIPTIONOF IN KIND

CONTRIBUTION

ESTIMATEDFAIR MARKET

VALUE

IF FORFUND-RAISERCONTRIBUTION

Cry-+ 41+- &-ASeA-(J' VOhGY

l_ Lqv-rl~wos Ca >~~~ d ~wS

-?1I?

~3`0~R~~

u.6(Z&h P, ~'l E as t 9

~(,rh .~'q .30 oLetYR+- wrf

saz,rc c .2 'D (~ FF-1F-1F-1F-1F7F-1F-1F7

Page 20: DISCLOSURESUMMARYPAGE DR-2 FORM I DISCLOSURE … fileForInstructions, SeeBackofForm CONTRIBUTIONS-MONEYTAKENIN (Including candidate'spersonalfunds) COMMITTEENAME(MustbesameasonStatementofOrgenizetion)

FOR INSTRUCTIONS, SEEBACK OF FORM

COMMITTEE NAME(Mustbe some as on Statementof Organization)

ro 44'jj o~ T4 /t10,'-7"-PART 11- ITEMIZED BREAKDOWN OF UNREIMBURSED EXPENSES PAID BY CONSULTANTTO OTHERS IN PERFORMING SERVICES OF CONTRACT (These expenses should NOT be

PART 1- NAME AND ADDRESS OF CONSULTANT

reported on Schedule B, as they are direct payment from the consultant.)

Name ofCons tant

Mailing Address

City

ESTIMATES OF PERFORMANCE

State

~~ ~v 1 h2S

-Lower

TOTAL ANTICIPATEDCOMPENSATION FOR

CONTRACT PERIOD (MMIDD/YR)

PERFORMANCE

Zip Code

sa.2or

From 7-12-0d

Reset Form

Page ( of-j(for Schedule G)

SCHEDULE

G BREAKDOWNOF MONETARY

(Rev .02/96) EXPENDITURESBY CONSULTANT

L CHECK THIS BOX IFAMENDING FORM

DATEEXPENDEDMM/DO/YR

NAME AND ADDRESS TO WHOM EXPENDITURE(Disbursement) WAS MADE PURPOSE

AMOUNTEXPENDED

s

SUB-TOTAL

TOTAL (If last page of this schedule) $