Paulsen Kraig1318scanned

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` F OR I NSTRUCTI ONS,SEE BACK C ) RM

I AM F I L I NGA

DI SCL OSURE SUMMARY PAGE J AN 1 8 Z U U Z

P ' ~ ) - I &EE ,NAME ( Mu s tb e s ame a s o n St a t e me n t o f Or g a n i z a t i

I MPORTANT : I n d i c a t et y p eo f c o mmi t t e ey o u a r er e p o r t i n gf o r:

( 1 ) S t a t e w i d e / L e g i s l a t i v eC a n d i d a t e( 2 ) S t a t e w i d ePA C ( 3 ) S t a t eP a r t y( 4 ) C o u n t y / L o c a lC a n d i d a t e( 5 ) C o u n t yPAC ( 6 ) B a l l o tI s s u e / F r a n c h i s eC ommi t t e e( 7 ) C o u n t y / C i t yC e n t r a lC ommi t t e e( 8 ) S u p p o r tS l a t eo f Ca e s

SI GNATURE O , URER ( o r p er s o n f i l i n gt h i sr e p o r t ) TEL EPHONE

Ro u t i n ePe n al t i e sDu e F o r L a t eF i l e dRe po r t s R a n g e f r o m$ 2 0 t o $ 8 0 0

SEE I NSTRUCTI ONS ON BACK AND COMPL ET E T HE FOL L OWI NG SENTENCE :

[ ] CHECK I FAMENDMENT T O REPORT DATED

STAN 1 9 * 7 . RW REPORT F OR AN/ A( 1 )ELECTI ON / ( 2 ) NON- EL E CT I ONYEAR .

( r e p o r td a t e ) I n d i c a t eo n e

El C h e c k i f t h i si s f i n a l( t e r m i n a t i o n )r e p o r ta n d a t t a c h No t i c eo f D i s s o l u t i o nF o r m DR- 3.( You m u s t c on t i n uet o f i l er e p o r t su n t i la No t i c eo f D i s s o l u t i o ni s f i l e d. )

ST ATEMENT OF CASH ON HAND

CASH ON HAND a t t h e b e gi n ni n go f t h e r e p o r t i n gp e r i o d. ( T h i si s t h et o t a lo f a l lmo n i e s h e l db y t h e c o mmi t t ee. T hi sa m o u n t MUST b e t h es a m e a s t h e c a s h o n h a n d a t t h e en d o f t h el a s tr e p o r t i n gp e r i o d ,o r m u s t b e z e r o i f t h i si s f i r s tr e p o r tf i l e d. ) . . .. . . . .. . .. . . . .. .. . . . . .. .. . .. . . . .. . . . .. . .. . . . .. . . . . .. . . . .. . . . . . . .. .. . .. . .. . $

ADD TOTAL MONEY TAKEN I NT HI S PERI OD

Sc h e du l e A : C a s h C o n t r i b u t i o n st o t a l( A t t a c hSc h e d u l e A).. . . . .. . . . .. . . . . .. . . . .. . .. .. . .. . . . . . . . . .. . . . .. . .. .

Sc h e d u l e F: L o a n s Re c e i v e d t o t a l( A t t a c hSc h e d u l e F ). . .. . . . . . . .. . . . . . . .. .. . .. .. . . . . .. . . . .. . . . .. . .. . . . .. . . . .

S h d l H T lS l f C i P ( A hS h d l H)

D~0l 0 1 t Wl NOCt 1̀ 10 ~ N` j c ~FORM

DR- 2 I DI SCLOSURE( Re v. 0 1 / 9 8 ) REPORT

Fo rO f f i c eUs e On i y

Co mm, # ~ _

I n d e x e d~~ /

A u d i t e d

Co mp u t e r 6 L - -- + U l 0. C ,

DATE SI GNED

L o c a lC ommi t t e e s ,e n t e rDa t eo f E l e c t i o n

Co u n t y8 L o c a lC o mmi t t e e s ,e n t e rCo u n t yi nw h i c hE l e c t i o ni s h e l d

0



S h d l H T t lS l f C i P t( A t t hS h d l H)

F o r I n s t r u c t i o n s ,Se e B a c k o f F o l

CONTRI BUTI ONS - - MONEY TAKEN I N( I n c l u d i n gc a n d i d a t e ' sp e r s o n a l f u n d s )

COMMI T T EE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n )

y s P 1Vj - 0 ~ . / 7 t , l ~ s C~ ~

STATE CANDI DATES NOTE : I FA CONTRI BUTI ONI S RECEI VEDFROM A STATE PAC ( P OL I T I C A LACTI ON COMMI TTEE) ,L I S TTHEPAC I D ENT I F I CATI ONNUMBERAND THEPAC CHECK NUMBER I NTH E DESI GN ATEDCOL UMN . A L I S TOF I DNUMBERS I SAVA I L A B L EFROM T HE I OWAE T HI C SAND CAMPAI GNDI SCLOSUREBOARD .

CAUTI ON : Se ct i o n 6 8 B. 3 2 A ( 6 ) ,I o wa Co d e, p r o h i b i t st h e u s e o f i nf o r ma t i o nc o p i e d f r o mr e p o r t s a n d s t a t e me nt s f o rs o l i c i t i n gc on t r i b ut i o ns o rf o ra n y c o mme r c i a l p ur p o se bya n y p e r s o n o t h e r t h an s t a t u t o r yp o l i t i c a lc o mmi t t e es .

SCHEDULE

A MONETARY( Re v. 0 6 / 9 7 ) RECEI PTS

Q CHECK T HI S BOX I FAMENDI NG FORM

DATE PA C I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT l I F F ORRECEI VED ( i fa p p l i c a b l e ) T O CANDI DATE' RECEI VED FUND-

( MM/ DD/ YR) AND PAC CHECK ( i fa p p l i c a b l e ) RAI SER

NUMBER I NCOME

wmmID#

W i f e c 1

S~ DvCK#

I D#

CK#

CK#

ID#

CK#



Fo r I n s t r u c t i o n s , Se e B a c k o f Fo r m

' CONTRI BUTI ONS - MONEY TAKE, J( I n c l u d i n gc a n d i d a t e ' sp e r s o n a lf u n d s )

ICOMMI TTE E NAME ( Mu s tb e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )

S TAT E CA ND I DAT ESNOTE : I FA CONTRI BUTI ONI SRECEI VEDFROMASTATEPA C ( P OL I T I C ALACTI ONCOMMI TTEE) ,L I S TTH E PAC I D ENT I F I C AT I ONNUMBER ANDTHE PAC CHECKNUMBERI NTH E DESI GNATEDCOLUMN. A L I S TOF I DNUMBERSI SAVAI LABLEFROMT H E I OWAETHI CSANDCAMPAI GNDI SCLOSUREBOARD.

CAUTI ON : S e c t i o n6 8 B . 3 2 A ( 6 ) ,I o wa Code , p r o h i b i t st h e u s e o f i n f o r m a t i o nc op i e d f r o mr e p o r t sa n d s t a t e me n t s f o rs o l i c i t i n gc o n t r i b u t i o n so rf o ra ny c omme r c i a l p u r p os eb y a n y p e r s o n o t h e r t h a ns t a t u t o r yp o l i t i c a lc o mmi t t e e s. `

SCHEDUL E

A MONETARY( R e v. 0 6 / 9 7 ) R E CE I P T S

Q CHECK T HI SBOX I fAMENDI NG FORM

DATE PA C I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR R EL ATI ONS H I P AMOUNT 4 I F FORR EC EI V E D ( i fa p p l i c a b l e ) TO CANDI DATE* R EC EI V E D FUND-

( MM/ DD/ YR) AND PAC CHECK ( i fa p p l i c a b l e ) R AI S E RNUMBER I NCOME

CK# , / C f a ~ 1 n,1 ~3 _ 3

I D# r a

CK#

I D#j " s4 4 J _ 52 2 j 6

ii )

C > ! l ' S 4I D#

CK# y z AA A/

t

CK# L

' ' ID# F1 _ - a r

CK#r A ,



Fo r I n s t r u c t i o n s ,Se e B a c k o f Fo r m

' ' CONTRI BUTI ONS - - MONEY TAKE . J( I n c l u d i n gc an di d at e ' s p er s o n alf u n d s )

COMMI TTEE NAME ( Mus t b e s a me a s o n St a t e me n t o f Or g a n i z at i o n )

t ~

f o r a ny c o mme r c i a l p u r p o s e b y a ny p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a lc o mmi t t e e s.

STATE CANDI DATES NOTE : I FA CONTRI BUTI ONI S RECEI VEDFROM A STATE PAC ( P OL I TI CA LACTI ONCOMMI TTEE) ,L I S TTHEPAC I DE NT I F I CAT I ONNUMBER AND THE PAC CHECK NUMBER I NTHE DESI GNATED COL UMN . A L I STOF I DNUMBERS I SAVA I L A BL EFROM THE I OWA ETH I CSAND CAMPAI GNDI SCLOSUREBOARD .

CAUTI ON : S e c t i o n 6 8 B . 3 2 A( 6 ) , I o wa Code , pr o hi b i t st h e u s e o f i n f o r mat i o nc o pi e d f r o m r e po r t s a n d s t a t e me n t s f o rs o l i c i t i n gc on t r i b ut i on so r

SCHEDULEA MONETARY

( Re v . 0 6 / 9 7 ) RECEI PTS

[ ] CHECK T HI S BOX I F

AMENDI NG F ORM

DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT q I F F ORRECEI VED ( i fa pp l i c a bl e ) TO CANDI DATE* RECEI VED FUND-

( MMI DDNR) AND PAC CHECK ( i fa pp l i c a bl e ) RAI SERNUMBER I NCOME

161 ~ /M CK#

' 1 1 1, 1 4 ( oa s ~ ? "W,-

z' r.

° $

c K# YAN~b ~ Zi

z - r

CK# yr a ' o r - 1 &- C/ I Qd.

1 , c 1LAA 1 1.

5 c K# ~l ~~ r f G S A ~

L~

J r 'C~ U N

I D#FA+ h e ~ I °n l

CK# 3 XV ,N L AW' - J 5 f , , ~0

C o u s i

CK#/ vdU

I " s,N o L l ~



F o r I n s t r u c t i o n s ,Se e B a c k o f F o r m

' ' CONTRI BUTI ONS- MONEY TAKE, J( I n c l u d i n gc a n d i d a t e ' sp e r s o n a l f u n d s )

ICOMNWEE NAME ( M u s tb e s ame a s o n S t a t e m e n to fO r g a n i z a t i o n )

_ A 1 , , _ CVwe # 2 2 1 - - CZ r ( Sw im " - 1 -- e

S TAT E C A ND I D AT E SNOTE: I FACO NT R I B U T I O NI SR E CE I V E DFROMAS TAT EP AC( P O L I T I C A LA CT I O NC OMMI T T E E) ,L I S TT HE PACI D E N T I F I C A T I O NNUMBERANDT H EP A CC H E C KNUMBERI NT H ED E S I G NAT E DCOLUMN. AL I S TOFI DN U M B E R SI SAVA I L A B L EFROMT H EI O WAE T HI C SANDC AM PA I G ND I S CL O S U R EB O A R D.

CAUTI ON: S e c t i o n6 8 B. 3 2 A ( 6 ) ,I o w aC o d e ,p r o h i b i t st h eu s eo f i n f o r m a t i o nc o p i e df r o mr e p o r t sa n ds t a t e m e n t sf o rs o l i c i t i n gc o n t r i b u t i o n so rf o ra n y c o mme r c i a l p u r p o s eb ya n yp e r s o no t h er t h a ns t a t u t o r yp o l i t i c a lc o mmi t t e e s.

SCHEDUL EA MONETARY

( Re v. 0 6 Q 7 ) RECEI PTS

Q CHECK T HI S BOX I FAMENDI NG FORM

DATE PACI DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I FFORRECEI VED ( i fa p p l i c a b l e ) TO CANDI DATE* RECEI VED F UND-

( MM/ DD/ Y R) AND PAC CHECK ( i fa p p l i c a b l e ) RA I S E RNUMBER I NCOME

l~ ' , i r i e l 9 mAn ~'

CK# 7 * ~ 3 s C H GSN, " v Pji - S h hw '

, 4 At h e r

o CK# a 84~Mme -, I AVJ f d 4} e -

1 D# J R n n k s l ~~ d a ~ AUZ - 5 - 1 4 O t i r l e

CK# 1 0 a7, 5 L ~Xewh A 6A ~ t * u AA,

/j;A114 . 8

I D# TAh ~ e ~ l J̀ C' wu d ~ ,eCK# E, .e s t e rJ + Y F

1 D# Af h '-A;

CK# wZ i 8 f )

CK# L1

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, 4 6) R~ ~ us S~

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Fo r I n s t r u c t i o n s , Se e Back o f Fo r m

CONTRI BUTI ONS - MONEY TAKE, J( I n c l u d i n gc a n d i d a t e ' sp e r s o n a lf u n d s )

NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n )

S TATE C ANDI DAT ESNOTE: I FA CONTRI BUTI ONI SRECEI VEDFROM ASTATE PA C ( P OL I T I C A LACTI ONCOMMI TTEE) ,L I S TT HE PACI D EN TI F I C AT I ONNUMBERA ND T HE PACCHECKNUMBERI NTHE DESI GNATEDCOLUMN. A L I S TOF I DNUMBERSI SAVAI LABLEFROMTHE I OWAETHI CSANDCAMPAI GNDI SCLOSUREBOARD.

CAUTI ON : Se c t i o n6 8 B. 3 2 A ( 6 ) ,I o waCode, p r o h i b i t st h eu s e o f i n f o r m a t i o nc op i e d f r omr e p o r t sa n d s t a t e me nt s f o rs o l i c i t i n gc o n t r i b u t i o n so rf o ra ny c ommer c i a l p ur p o s eb y a ny p er s o n o t h e r t h a ns t a t u t o r yp o l i t i c a lc o mmi t t e es.

SCHEDUL E

A MONETARY( Re v. 0 6 1 9 7 ) R ECE I P T S

CHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR R EL AT I ONS HI P AMOUNT q I F FORR EC EI V E D ( i fa p p l i c a b l e ) TO CANDI DATE' RECE I V ED FUND-

( MM/ DD/ Y R) AND PAC CHECK ( i fa p p l i c a b l e ) R AI S ERNUMBER I NCOME

I D#

CK# c r oI V. - . v L g h J' d' d ZjI D# 6 . 'w ~ / ~

~ I ot l j

A I ' I ~. r CZ ' t , I ~ I 4 h~ J l ~

c K# ~7YaDz

I D# A , A ~ > r, f ~ N/ ~

~a CK# 1 3 C . a r : Pov Gt, C _ Vv

A _ 9 ?Al f

CK# - - T ' -

dI D#

1 ~e hl e ' T g > % ~2ew %11 t h KS

CK# a /c

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a ny ~~ . s ; wr 1 0 0 'C ~d

ID# T_

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I D# ( k e V e - 4 - j c L j; f ° i S / v t -



F o r I g l s t r u c t i o n s ,Se e B a c k o f F o r m

' ' CONTRI BUTI ONS- MONEY TAKE . J( I n c l u d i n gc a n d i d a t e ' sp e r s o n a lf u n d s )

NAME ( M u s tb e s ame a s o n S t a t e me n to f Or g a n i z a t i o n )

CAW A I

S TAT EC A ND I D AT E SNOTE: I FACO NT R I B U T I O NI SR E CE I V E DFROMAS TAT EP AC( P O L I T I C A LA CT I O NC OMMI T T E E) ,L I S TT HE PACI DE NT I F I CATI O NN U M B E RANDT HEP A CCHECK NUMBERI NT H ED E S I G NAT E DC O L U M N. AL I S TO FI DN U M B E R SI SAVA I L A BL EFROMT H EI O WAE T HI C SANDC A MPA I G ND I S CL O S U R EB O A R D.

CAUTI ON : S e c t i o n6 8 B. 3 2 A ( 6 ) ,I o wa C o d e , p r o h i b i t st h eu s e o f i n f o r m a t i o nc o p i e df r o mr e p o r t sa n d s t a t e me n t s f o rs o l i c i t i n gc o n t r i b u t i o n so rf o ra n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a ns t a t u t o r yp o l i t i c a lc o mmi t t e e s.

SCHEDULEA MONETARY

( Re v. 0 6 ) 9 7 ) RECEI PTS

CHECK T HI S BOX I FAMENDI NG FORM

DATE P ACI DNUMBER NAME AND ADDRESS OF CONT RI BUTOR RELATI ONSHI P AMOUNT I F FORRECEI VED ( i fa p p l i c a b l e ) TO CANDI DATE* RECEI VED F UND-

( MM/ DD/ YR) AND P AC CHECK ( i fa p p l i c a b l e ) RAI SERNUMBER I NCOME

jI D# 0 -AN c

i ~Ul CK# G4- n4! w Z+ ,a

~/ c K#A f l s t l

a 7 9 Cb v~ ' 'J J a m. ~~~ un~1 ~ el ~ 4- ~, oD

QAJ i CL s : 1 ~

CA/ C ~ ; k Uc 7 ' "~7 . GU

c K# CC 1 P h~I D# F , - . 1 i ~i ~1 wa v eCK# i .. S f h

~ » r a o_

CK# 7 ~ 5 ~ 3 I ~ ' / f Y e ~Sb

l ~~I

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Fo r I n s t r u c t i o n s , Se e Ba c k o f Fo r m

' CONTRI BUTI ONS - MONEY TAKEI J( I n c l u d i n gc a n d i d a t e ' sp e r s o n a lf u n d s )

COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g a n i z a t i on )

l ' / ~ , L 5 ! A2 ' f b ~ ' : j k h Abp

STATECANDI DATESNOTE : I FA CONTRI BUTI ONI SRECEI VEDF R OM ASTATE PAC ( P OL I T I C A LA CT I O NCOMMI TTEE) ,L I S TTHEPACI DE NT I F I C AT I O NNUMBERANDT HE PACCHECKNUMBERI NTHEDESI GNATEDCOLUMN. A L I S TOF I DNUMBERSI SAVAI LABLEFROM THE I OWAETHI CSANDCAMPAI GNDI SCLOSUREBOARD.

CAUTI ON : S e c t i o n6 8 B. 3 2 A ( 6 ) ,I o wa Cod e, p r o h i b i t st h eu s e o f i n f o r m a t i o nc o p i e df r o mr e p o r t sa n d s t a t e me nt s f o rs o l i c i t i n gc o n t r i b u t i o n so rf o ra ny c ommer c i a l p u r p os eb y a ny p er s o no t h e rt h ans t a t u t o r yp o l i t i c a lc o mmi t t e es.

SCHEDUL E

A MONETARY( Re v. 0 6 M 7 ) R ECE I P T S

CHECK T HI SBOX I FAMENDI NG FORM

DATE PACI DNUMBE R NAME AND ADDRESS OF CONTRI BUTOR R EL AT I O NS HI P AMOUNT ~1 I F FORR E CE I V E D ( i fa p p l i c a b l e ) TO CANDI DATE* R E CE I V E D FUND-( MMI DDNR) AND PAC CHECK ( i fa p p l i c a b l e ) R AI S ER

NUMBE R I NCOME

I D#

CK# AVe ^ 'w

ed

I D# GFP ' ~ br ~ 4 A I Vs6hCLL~ L 5, 4 4 J"

/ - d m CK# $ u v e ~d e l ~l Vk J

~~j , D1 J

d . ~ S olD#

f ~0 c K# CT, C ~ u s ~ 3 v 'Ie ,

I D# F) , 4 N~A~ F1- * 2 4 0 eMc K#

6D9 oSv z t f h v r c k !t J A me 4 1 - ,

F

I D#~ Te ANI Ve fk ,

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F' 4 - 4. 5 r Ah d7 c ' j' c ~A e ` SCK# / 9 &7 -j X i%c 1*1- 4cc Aw

2 34 L%' hW



Fo r I n s t r u c t i o n s , Se e B a c k o f F o r m

CONTRI BUTI ONS - MONEY TAKER( I n c l u d i n gc a n d i d a t e ' s p e r s o n a lf u n d s )

COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me nt o f Or g a n i z a t i o n)

PW 16M 17r - st ut ' - 46, 6~ Co mm Iky

STATE CANDI DATESNOTE: I FA CONTRI BUTI ONI SRECEI VEDFROMASTATE PAC( P OL I T I C ALACTI ONCOMMI TTEE) ,L I S TT HE PACI DE NT I F I C AT I ONNUMBERANDTHE PAC CHECKNUMBERI NTH E DESI GNATEDCOLUMN. A L I S TOF I DNUMBERSI SAVAI LABLEFROMT HE I O WAETHI CSANDCAMPAI GNDI SCLOSUREBOARD.

CAUTI ON : S e c t i o n6 8 B. 3 2 A ( 6 ) ,I o wa C o d e , p r o h i b i t st h e u s e o f i n f o r m a t i o nc o pi e df r o mr e p o r t sa n d s t a t e me nt s f o r s o l i c i t i n gc o n t r i b u t i o n so rf o r a ny c o mme r c i a l p ur p o s eb y a n y p e r s o n o t h e rt h a n s t a t u t o r yp o l i t i c a lc o mmi t t e e s.

SCHEDUL E

A MONETARY( Re v. 0 6 / 9 7 ) RECEI P TS

CHECK T HI S BOX I FAMENDI NG F ORM

DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR R EL ATI O NS HI P AMOUNT ) I F FORRECEI V E D ( i fa p p l i c a b l e ) TO CANDI DATE* RECEI VED FUND-

( MM/ DDY R ) AND PA C CHECK ( i fa p p l i c a b l e ) R AI S ERNUMBER I NCOME

CK# - 7C

ID#_

~ i mb ~~1 ,~

~ sl

`

l J

f CK# VANA 4 p e DOI D# , 5 ' h ~ ' h ~ r q, q , ~ u l b e r t ,~ Q~ r ~ , ,q> d

CK#

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1 CK# a ? s , l a mG 1 ~.

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CK# 6 p 5 1 4 1 ~z o ' f 49w¢

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F o r I n s t r u c t i o n s ,Se e Ba c k o f Fo r m

' CONTRI BUTI ONS - MONEY TAKEK( I n c l u d i n gc a n d i d a t e ' sp e r s o n a lf u n d s )

COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g a n i z at i o n )

JD=& Z4 T OT _; t a & J6 & ~V C OM

STATE CANDI DATESNOTE : I FA CONTRI BUTI ONI SRECEI VEDF R O M ASTATE PA C ( P OL I T I C A LACTI ONCOMMI TTEE) ,L I S TT HE PACI DE NT I F I C AT I O NNUMBERANDTHE PACCHECKNUMBERI NTHE DESI GNATEDCOLUMN. A L I S TOF I DNUMBERSI SAVAI LABLEFROMTHE I OWAETHI CSANDCAMPAI GNDI SCLOSUREBOARD.

CAUTI ON : S e c t i o n6 8 B. 3 2 A ( 6 ) ,I o wa Code , p r o h i b i t st h eu s e o f i n f o r m a t i o nc op i e d f r o mr e p o r t san d s t at e me n t s f o r s o l i c i t i n gc o n t r i b u t i o n so rf o ran y c o mme r c i a l p u r p o s e b y an y p e r s o n o t h e rt h ans t a t u t o r yp o l i t i c a lc o mmi t t e es.

SCHEDULE

A MONETARY( R e v. 0 6 ) 9 7 ) R ECE I P T S

0 CHECK T HI S BOX I FAMENDI NG F ORM

DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR R EL AT I O NS HI P AMOUNT . / I F FORR E CE I V E D ( i fa p p l i c a b l e ) TO CANDI DATE* R E CE I V E D FUND-

( MM/ DD/ Y R ) AND PA C CHECK ( i fa p pl i c a b l e ) R AI S ERNUMBER I NCOME

IY 1161

ID#

c . Ie

I D#~, l ~ f I ' 1 C1 . 9 r a v e ~

CK#

/A / W CK# c o k Q ql r~ / ' 1c a s !" DA ,t i ~

s ~ 1 nID#

CK#

o ~ao i l l e

c K# l X70 Gc . l t L ~l i i ) D

I D# v

CK#

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Fo r I n s t r u c t i on s ,Se e Ba c k o f Fo r m

' CONTRI BUTI ONS - MONEY TAKEF .

( I n c l u d i n gc a n d i d a t e ' sp e r s o n a lf u n d s )

COMMI TTEE NA ME ( Mu s t b e s ame as o n S t a t e me n t o f Or g a n i z at i o n)

j Da , d " m

S T AT EC A N D I D A T E S N O T E: I FA C O N T RI B U T I O NI SR E C E I V E DF R O MAS T AT EP A C( P O L I T I C A LA C T I O NC O M M I T T E E ) ,L I S TT H E P A CI D E N T I F I C AT IN U M B E RA N DT H EP A CC H E C K N U M B E RI NT H ED E S I G N AT E DC O L U M N. AL I S TO FI DN U M B E R SI SAVA I L A B L EF R O MT H E I O WAE T H I C SA N DC A M PA I G ND I S C L O S U R EB O A R D.

CAUTI ON : S e c t i o n6 8 B. 3 2 A ( 6 ) ,I o wa Co d e, p r o h i b i t st h e u s e o f i n f o r m a t i o nc o pi e df r o m r e p o r t san d s t at e me n t s f o r s o l i c i t i n gc o n t r i b u t i o n so rf o r an y c o mmer c i a l p u r p os eb y a n y p e r s o n o t h e rt h a n s t a t u t o r yp o l i t i c a lc o mmi t t e es.

SCHEDULE

A MONETARY( Re v. 0 6 1 9 7 ) RE CE I P T S

Q CHECK T HI S BOX I FAMENDI NG F ORM

DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RE L AT I O NS HI P AMOUNT 4 I F FORRECEI V ED ( i fa p p l i c a b l e ) TO CANDI D ATE' RECEI V ED FUND-

( MM/ D D/ Y R) AND PAC CHECK ( i fa p p l i c a b l e ) RA I S ERNUMBER I NCOME

I D# C ji - T

1~a CK#

1, K- A7 ~ ' U 4ID# S CA I F h We e Z S O N~ ~

/ r I D#

X - 3 , 1l i v CK# e w o y d 0, V e Dr mi mi f. ~ ec

CK# o w C . 00 ,, M f e e510 / ; C c v l v14 -

I D#y ~l y i a l ~N~ - %/ V1e) " es T

C~t ? I - N dN Gd I r n ~f / e e a3CK#

4C- 6a v

I

_I D# '

y f t " L c ' C. C 'j ° '

OCK# ANR ~ .

ID#

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F o r I n s t r u c t i o n s ,Se e Ba c k o f Fo r m

' CONTRI BUTI ONS - MONEY TAKEN : :( I n c l u d i n gc a n d i d a t e ' sp e r s o n a lf u n d s )

COMMI TTEE NAME ( Mu s t b e s ame as o n S t a t e me n t o f Or g a n i z at i o n )

&d6 za ' For 5 ttk 16 U

SCHEDULE

A MONETARY( Re v. 0 6 / 9 7 )I RECEI PTS

Q CHECK T HI S BOX I FAMENDI NG F ORM

STATE CANDI DATESNOTE : I FA CONTRI BUTI ONI SRECEI VEDF RO M ASTATE PAC ( P OL I T I C A LACTI ONCOMMI TTEE) ,L I S TTH EPA C I DE NT I F I C AT I ONNUMBERANDTH EPACCHECK NUMBERI NTHE DESI GNATEDCOLUMN. A L I S TOF I DNUMBERSI SAVAI LABLEFROMTH E I OWAETHI CSANDCAMPAI GNDI SCLOSUREBOARD.

CAUTI ON : S e c t i o n6 8 B. 3 2 A ( 6 ) ,I o wa Code , p r o h i b i t s t h eu s e o f i n f o r m a t i o nc op i e d f r o mr e p o r t sa n d s t at e me n t s f o r s o l i c i t i n gc o n t r i b u t i o n so rf o ra ny c o mme r c i al p u r p o s e b y an y p e r s o n o t h e r t h a ns t a t u t o r yp o l i t i c a lc o mmi t t e es.

DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RE L AT I O NS HI P AMOUNT J I FFORRECEI VED ( i fa p p l i c a b l e ) TO CANDI DATE* RECEI VED FUND-

( MM/ DD/ Y R) AND PA C CHECK ( i fa p pl i c a b l e ) RA I S ERNUMBER I NCOME

I D#

CK# r

CK# , 76 . , s~ .

1 D#&Zees

= M

l ~ , r CK# Sc l ~ i ' LL~c ~ r ,

; l 00u . 2 ,

11l

I D#M L ' 7f ~ C. h r h4 y ~LL

i l v. ,T1d

I D#

r Al me A~ - , ~~ ~ J S ~ "b bCK# , , t e mr L Af i

~4AAA r ' x el CK# 1. 5 %6/ , S ' t ' n_ Sf

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f i r 'ID# Z

l ) 1" A ( ' 4 5



Fo r I n s t r u c t i o n s , Se e Ba c k o f Fo r m

CONTRI BUTI ONS - MONEY TAKEI .

( i n c l u d i n gc a n d i d a t e ' sp e r s o n a lf u n d s )

COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me nt o f Or g a ni z a t i on )

76&41t TCT s t x &, J _ k ~ , C~nm

S C H E D U L EA I MONETARY

( Re v. 0 6 / 9 7 ) RECEI PTS

0 CHECK T HI S BOX I FAMENDI NG FORM

STATE CANDI DATESNOTE: I FA CONTRI BUTI ONI SRECEI VEDFROMASTATE PAC ( P O L I T I C A LACTI ONCOMMI TTEE) ,L I S TT HE PA CI D E NT I F I C AT I ONNUMBER ANDTHE PAC CHECK NUMBERI NTH EDESI GNATEDCOLUMN. A L I S TOF I DNUMBERSI SAVAI LABLEFROMT HE I O WAETHI CSANDCAMPAI GNDI SCLOSUREBOARD.

CAUTI ON : Se c t i o n6 8 B. 3 2 A ( 6 ) ,I o wa Code, p r o h i b i t st h e u s e o f i n f o r m a t i o nc o p i e df r o m r e p o r t sa n d s t a t e me nt s f o r s o l i c i t i n gc o n t r i b u t i o n so rf o ra n y c omme r c i a l p u r p os eb y a n y p e r s o n o t h e rt h an s t a t u t o r yp o l i t i c a lc o mmi t t e es.

DATE PAC I DNUMBER NAME AND ADDRESS OF CONTRI BUTOR RE L AT I O NS HI P AMOUNT J I FFORRECEI VED ( i fa p pl i c a b l e ) TO CANDI DATE` RECEI VED FUND-

( MM/ DD/ Y R) AND PAC CHECK ( i fa p p l i c a b l e ) RA I S ERNUMBER I NCOME

CK# 9 ' r 2. . 0 ~ h " SOD

fj F O !ID#

l ~

4 4DC~

CK#< / eL L e ~̀t i

. .

" D ,

no

COL D h pI D # L 4

CK# 1 6 o7 6 i~ x e~ ~ C ~~

APi R C o l tI D # A} x ) , t 3 r , ~ a l ef _

CK#

j I D # r

CK# I ~ " " , 6~ L yf C I VE: /C_ C> c4





FOR I NSTRUCTI ONS,SEE BACK OF t M SCHEDULE

EXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TT EEACCOUNT ( R e v. 0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE: FORCONTRI BUTI ONSMADE TO STATEWI DEOR LEGI SLATI VECANDI DATES,L I S TT HECANDI DATEI DENTI FI CATI ONNUMBER I NTHE DESI GNATEDCOLUMN AND T HE CHECK T HI SBOX I FDACCHECK NUMBER FOR EACHEXPENDI TURE. A L I S TOF I DNUMBERS I SAVAI LABLEFROM THE I OWA AMENDI NG FORMETHI CS& CAMPAI GNDI SCLOSUREBOARD .

COMMI TT EE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a ni z a t i o n )

CANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNTDATE I DNUMBER EXPENDI TURE ( DES CRI B ETRANSACTI ON) EXPENDED

EXPENDED ( i fa p p l i c a b l e ) ( D i s b u r s e me n t )WAS MADE( MM/ DD/ Y R) AND PAC

CHECKNUMBER

1 1" v ~ a A s/ a w lCK# $ i s j oZ An : . .

aI D#

A0 f c ~ ~ A (-WL- r - 5

CK #,

I D#

l ' > , Q . , Vc d~ s ~ r i t t-i s~ i v h d t s ~ t

i1 D#

%0

f 1 Nr ~ ~ _ ' S V T / l. ~S. .. 3 5 ', 0 Z)

CK# c o d ' iI D#

S11 90 1CK# .

r

~ ~7 ~" ©~ Li " ~ ( 1 S Aj °~N

~~ 'LCD

1 0

I D#

CK# - 7 CC 1~~r ~~ ~/ 0 c-k ' a , " , 2



FOR I NSTRUCTI ONS,SEE BACK OF FORM SCHEDUL E

EXPE NDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTE EACCOUNT ( Re v . 0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONSMADE TO STATEWI DE OR L E GI SL ATI V ECANDI DATES,L I STTHE CANDI DATE I DE NT I F I CATI ONNUMBER I NTHE DESI GNATEDCOLUMN AND THE El CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I STOF I DNUMBERS I SAVA I L A B L EFROM THE I OWA AMENDI NG FORME T HI CS& CAMPAI GN DI SCLOSUREBOARD .

COMMI TT NAME ( Mu s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )7

' CANDI DATE ' NAME AND ADDRESS TO WHOM PURPOSE AMOUNTDATE I DNUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDED

EXPENDED ( i fa p p l i c a b l e ) ( D i s b u r s e me n t )WAS MADE( MM/ DD/ YR) AND PAC

CHECK

NUMBERI D #

11 y j

l

I D # i

s CK# r 3 l A~~OJ ' 0 ' Lcr

.

I D #r VA

11 6,CK #

C( 5cj 4 ) - r I i:G1I D # ~/ l ~ t h : 7` G1 1 ~ 1 1 ~ i ~S f r . ~ r L 3 ~l ~~r ~ 57CK #

I D #" ; ~Al h l 4 6 ~- v s ~ Z e s '

CK# L N3 ~~ ~~l l gt



FOR I NSTRUCTI ONS, SEE BACK OF RM SCHEDULE

EXPENDI TURES B MONET ARY- - MONEY SPENTFROM COMMI T T EEACCOUNT ( R e v. 0 9 ) 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE: FOR CONTRI BUTI ONSMADE T O STAT EWI DEOR L E GI S L AT I V ECANDI DATES,L I STT HE C AN DI DATEI DE NT I F I CAT I ONNUMBER I NT HE DESI GNATEDCOLUMN AND T HE CHECK T HI SBOX I FPA C CHECK NUMBER FOR EACHEXPENDI TURE. A L I STOF I DNUMBERS I SAVA I L A BL EFROM T HE I OWA AMENDI NG FORME T HI CS& CAMPAI GND I S C L OS UREBOARD .

COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g a ni z a t i o n)

- 1 1 11 0 ," i l F A I I r 1.1w - ' ~ i s 'CANDI DATE NAME AND ADDRESS T O WHOM PURPOSE AMOUNT

DATE I DNUMBER E X P EN DI T U RE ( DE SCRI B ETRANSACTI ON) EXPENDEDEXPENDED ( i fa p p l i c a b l e ) ( D i s b u r s e me n t )WAS MADE( MM/ D D/ Y R) AND PAC

CHECKNUMBER

Of CK# C 'of ,~ r ws $ ~ 8

CK# - 0 4 MAL

1 D# AN C B~ : Nf

~11

4 4. H n a o ,! aG&

~~

CK#

- Z 4

i ~. ~r L CK#7 , _

IUS o , t 00 &1 0

1

b

CK# 1 - . S

~ ~ CK# ~3 ~C t i p 0 t C r o v e l - o



FOR I NSTRUCTI ONS, SEE BACK OF ? M SCHEDULE

EXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v. 0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONSMADE TO STATEWI DEOR L EGI S L AT I V ECANDI DATES,L I S TTHE CANDI DATEI DENTI FI CATI ONNUMBER I NT HEDESI GNATEDCOLUMN AND THE CHECK T HI SBOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE. A L I S TOF I DNUMBERS I SAVAI LABLEFROM T HE I OWA AMENDI NG FORME THI C S& CAMPAI GNDI SCLOSUREBOARD .

COMMI TTE E NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n)

1 1 6 _ 'o d w ~ ~ ' ~ 4a ~I / . e I 1 1 ~ / ~CANDI DATE NAME AND ADDRESS T O WHOM PURPOSE AMOUNT

DATE I DNUMBER EXPENDI TURE ( DE SC RI B ETRANSACTI ON) EXPENDEDEXPENDED ( i fa p p l i c a b l e ) ( D i s b u r s e me n t )WAS MADE( MM/ DD/ YR) AND PAC

CHECKNUMBER

j /CK# $

l J

CK#

I D#61

) 5

CK#

I D#

y

f. 0 v

J CK# l

I D#

Ye l l ' ~ ~l~1 - , ~

y ~ ?CK#



FOR I NSTRUCTI ONS, SEE BACK OF FORM SCHEDUL E

EXPENDI TURES B MONETARY- MONEY SPENT FROM COMMI TTEE ACCOUNT ( Re v . 0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEE S : NOTE : FOR CONTRI BUTI ONSMADE TO STATEWI DE OR L E GI SL ATI V ECANDI DATES,L I STTHE CANDI DATE I DE NT I F I CATI ONNUMBER I NTHE DESI GNATEDCOLUMN AND THE CHECK THI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I STOF I DNUMBERS I SAVA I L A B L EFROM THE I OWA AMENDI NG FORM

ETHI CS& CAMPAI GN DI SCLOSURE BOARD .

COM I TTE E NAME ( Mu s t b e same a s o n St a t e me n t o f Or g a n i z a t i o n )l

0 ~ An y 44 ~CANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE I DNUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i fa p p l i c a b l e ) ( D i s b u r s e m e n t )WAS MADE( MM/ DD/ YR) AND PAC

CHECK

NUMBERI D#

Ol r 1 N- 1 A E F T0 ( ) k X he f a ) N- X web s Yf c. -

, i v), lf c ' , o v ~ 3 H1 - t 'CK# $

6

CK#

y o f CK# , gj q j e C' o~~' ~ f h - ' f i " GJ y l v ~4

I D#

CK#

ID#

CK#

ID#

CK#





FOR I NSTRUCTI ONS,SEE BACK OF F Op " '1

COMMI TT EE NAME ( Mu st b esame a s o n St a t e me n t o f Or g a n i z a t i o n )

RuLi ea'

SCHEDUL E

E I I NK I ND( Re v. 0 6 / 9 7 ) C ONT RI BUTI ONS

O CHECK T HI S BOX I FAMENDI NG FORM

DATERECEI VED

( MM/ D D/ Y RNAME AND ADDRESS

OF CONTRI BUTOR

R EL AT I ON SH I PTO CANDI DATE' ( i fa p p l i c a b l e )

D ES CR I P T I ONOF I NK I ND

CON TRI B UTI ON

ES TI MAT EDFAI R MARKET

VALUE

J I FFORF U ND - R AI S ER

CONTRI BUTI ON

1 V J r / 5~~ ~

I ~~ ~ e l _ r

~

b a

s s ~ ~ - ~ l c c s

i r n ~ iI l k N-

s >, S t e 7 ~ 1J4p

~ ~ 1 D I~~

l ~i f c . AI &

0 2I n n

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8

'

~ ' A r p~ ~ L S ~ N E

4

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FOR I NSTRUCTI ONS, SEEBACK OF FORM

ICOMMI TTEE NAME ( M u s tb e s a m ea s o nS t a t e me n to f O r g a n i z a t i o n )

SCHEDULEE I I NK I N D

( R e v. 0 6 / 9 7 )CONTRI BUTI ONS

El CHECK THI S B OX I FAMENDI NG FORM

DATERECEI VED( M M/ D D/ Y R )

NAME ANDADDRESSOF CONTRI BUTOR

RELATI ONSHI PTO CANDI DATE' i fa p p l i c a b l e )

DESCRI PTI ONOF I NK I ND

CONTRI BUTI ON

ESTI MATEDF A I RMARKET

VALUE

~ I FF ORFUND- RAI SER

CONTRI BUTI ON

D ' l e a 9 ~ ~ ~ -wF

AJ

$

0 0



r u r tu v oi Mu%' I i u l v o ,O a r _Dmu n y r r u r t m

T HI SFORM I SUSED BY CANDI DATES 'COMMI TTEES ONL Y

ICOMMI TTEENAME ( M u s tb esamea so n S t a t e me n to f O r g a n i z a t i o n )

f A/

PART I - ONGOI NG I NVENTORY OF CAMPAI GN PROPE RTY PART 1 1- SALES OR TRANSFE RS OF CAMPAI GN PROPERTY * *

TOTALVALUE CAMPAI GNPROPERTYT HI SREPO T I * "PROPERTYSALES&TRANSFERSTOTAL TOTALS $ $( TRANSFERT O SUMMARYPAGE)$ 1 = - K ) ( TRANSFERT O SUMMARYPAGE) $

* I fe s t i m a t e d ,s h o we s t. b e s i d ef i g u r e.

SCHEDULEH

( R e v. 0 2 / 9 6 )CAMPAI GNPROPERTY

ATTACHSCHEDULEHT OEACH REPORT, MAKI NGCHANGESAS REQUI RED.

E l CHECK T HI S BOX I FAMENDI NG FORM

( A t t a c hA d d i t i o n a lS c h e d u l e si fN e e d e d ) P a g e Of P a g e s( F o rS c h ed u l eH )

D a t e( M M/ D D / Y R )

Name a n dA d d r e s so fP u r c h a s e r / D o n e eD e s c r i p t i o no fP r o p e r t yS o l d ?Y/ N

S a l eP r i c e

V a l u eo fD on a t i o n

D a t eP u r c h a s e d( S c h e d ul eB )

o rD a t eR e c e i v e d( S c h e d ul eE )MM/ DD/ YR

D e s c r i p t i o no f P r o p e r t yP u r c h a s e

P r i c eo r E s t.V a l u eWhenA u i r e d *

C u r r e n tV a l u ea t F a i rM a r k e tT h i s

Re o r t

, a ~ o ~~ J, r e S

5 ` 5 ^ '1 6 0 . 0 0 / o o . ~ o

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Paulsen Kraig__1318__scanned

Paulsen Kraig1318scanned