For Instructions, See Back of Form: Important: Type You T 2 Pac (3 4 5 PA Cis 7 8) Support F
For Instructions, See Back of Form: Important: Type You T 2 Pac (3 4 5 PA Cis 7 8) Support F
For Instructions, See Back of Form: Important: Type You T 2 Pac (3 4 5 PA Cis 7 8) Support F
DR-2
(Rev. 01/98)
I DISCLOSURE
DISCLOSURE SUMMARY PAGE REPORT
VG4vy'Y1 For Office Use Oni
Comm. #
Indexed
Audited 2 - 2"
IMPORTANT: Indicate type of committee you are reporting for: Computer e-C A-
( t )Statewide/Legislative Candidate ( 2 t tewde PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )County PAV( 6 )BailotKsue/Fra c is Committee ( 7 )County/City Central Committee
( 8 )Support e f Candi~ate
~ ~a~ ~~ - 0 U - 411 o2 - 5~0~ Co /_lr-?d_O
SURER (o erson filing tNs report) TELEPHONE DATE SIGNED
Routine Penalties Due For Late Filed Reports Range from $20 to $800
D Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
(You must continue to file reports until a Notice of Dissolution is filed .) which Election is held
CASH ON HAND at the end of this reporting period (if final report, balance must A '
be zero) (Attach DR-3) . .. .. .. .. .. .. . . .. . .. .. .. . .. .. . . .. .. .. ... .. .. .. ...... .. ... .. .. .. ..... .. .. .. . .... . .... .. ... .. .. .. ... .. ..... .$ -/,;? /
UNPAID BILLS (From Schedule D - Attach Schedule D) .. .... .. .. .. .. .. .. .. ..... .. .. .. ..... .... . .. .. . .. .. .. .. ..... ....... .$
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E).. ....... .. .. .. .. . .... ..... . . ... .. .. .. ..... ......$ 6-0/,"N
OUTSTANDING LOANS (From Schedule F - Attach Schedule F). .... .. ..... .. .. .. .. .. . .. .. . .... ... .. .. .. .. ..... ..... .$
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES Z NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ 6-
For Instructions, See Back of Form SCHEDULE
A I MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
TTEE NAME (Must be same as on atement of Organizatio )_ AMENDING FORM
0 2 t2 e S P A! ~-~
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS REOEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER ; INCOME
I D#
'\O
-a 6 - o
CK#
/0o 3a q ~! J 50 73 ~o~,v~ .
, IKI
~ 34 of i~a l -~ 3 l .s~3il ~5;~
ID# ,
as -o CK# ~~3 a
I D# ~ X~
to
ID#
r
CK#
L
lSl~ ~ox, ~. - 5,0(w;--7
CK#
ll-l D 5Da7~
ID#
lt'-- l of
ID#
" So3D
ll- /7-01 CK# 'e7 A
I D#
~l-r~ al CK#
tfl~~~t . ~ 5o-a~d a~.8r7
ID#
lr - ~- a C' PD 3a y r1-
SUB-TOTAL
$ /473-ez)
TOTAL (if last 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 the third degree of consanguinity (blood relatives) and affinity (relatives by
Page of
marriage) (See Page 2 of forms packet .). If surname of contributor Is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
Y ~ $
11 -31 _0/ CK#
331J~',~ ldd.~
~~15~ a o
I D# '
_
CK# ,SOCAS''
ID# WA
307
cK# 3 .55
ID#
- -~
ID# W
CK#
701 A) ~~ 7067 "
I D#
cK# X ~ l~D. -
3 3 U~o66s
I D# /1
ID#
J~ - l9 d/
cK#
ID#
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06197) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
I COMMITTE"AME (Must be same ay on Star ent of Organi,ptionj AMENDING FORM
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEY/ED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .
CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMlDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
~a -19-a l CK#
'
v l a~ ~ `~
5al 3 ~O
$
DD, o-r7
I D#
cK#
ID#
C K#
ID#
CK# ,
I D#
CK#
I D#
CK#
I D#
CK#
I D#
C K#
I D#
CK#
ID#
CK#
SUB-TOTAL
00
TOTAL (if last page of this schedule)
244 575
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
Page of
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
n E IN KIND
COM/411 EE NAME (Must be same as on St ement of or (Rev . 06/97)+ CONTRIBUTIONS I
11 7W-19_001 JMWI
CHECK THIS BOX IF
AMENDING FORM
7a~~l a~~~
%4
~1 01l d 1 ~` ~ . 2-
7
- -,Z2 W
,ll _61 V
~ lS% Da--
d , 9~-
~ -sue
Y-~ a r
SUB-TOTAL
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage) . (See Page 2 of forms packet.) If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
FOR INSTRUCTIONS. SEE BACK OF FORM SCHEDULE
E IN KIND
COMMI /E NAME (Must be same as o Stateme/ t / /Organization) (Rev 06/97)I CONTRIBUTIONS
Y ~CJ~L7/1~~d
Q CHECK THIS BOX IF
AMENDING FORM
Lou
J4~ 9- 70
.a
ll
~3a~ a3 -~
as
9 so/
11- 9J/
114-VI
lD3a/ ~ <3~~
gyp_
ld f, .2
SUB-TOTAL
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage). (See Page 2 of forms packet .) If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN KIND
COM EE NAME (Must be same ao Statement Organization) (Rev 06/97] CONTRIBUTIONS
OZ
CHECK THIS BOX IF
AMENDING FORM
.d
SUB-TOTAL
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage). (See Page 2 of forms packet .) If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .