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FOP, INSTRUCTIONS, SEE BACK OF FC FORM

DR-2 I DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 02/96) REPORT
JAN 1 5 2002
For Office Use Only
COMMITTEE NAME (Must be same as on Statement of Organization) Comm . # 104 61
Indexed
Audited
IMPORTANT: Indicate type of committee you are reporting for: 0 Computer
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party (4 )County/Local Candidate
( 5 )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
( 8 )Support Slate of Candidates

o ~ "11 G -lo b 1 ~eC) ~ \3 CU '


SIGNATUR OF TREASURER (ol erson filing this report) TELEPHONE DATE NED

Penalties Due For Late Filed Reports Range from $10 to $400

SEE INSTRUCTIONS ON BACK AND CO MPLETE THE FOLLOWIN G SENTENCE :-

I AM FILING A \ of Sw, d REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .


(report date) Indicate one 0

pCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

County & Local Committees, enter County in


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

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (This is the total

iaa~,3q /
of all monies held 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 .) . .. .. ... .. .. ........... .. .. .. .. ......... .. .. .. .. . .. .. .. .. ... .. .. ....... .. ... $

'RLkg Lk . a -6°
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) .. .. ....... .. .. .. .. .. . .. .. .. .. ... .. .. ... .. .. .. ... C~

Schedule C: Fund-raising Events total (Attach Schedule C) .. ...... .. .. ......... .. .. .. .. . .. .. .. ... .. .. .....
Schedule F: Loans Received total (Attach Schedule F) ......... .. .. .. .. ........... .. .. .. . . . .. .. .. . .. .. .. .....
Schedule H: Total Sales of Campaign Property (Attach Schedule H) .... .. .. .. .. . .. .. .. .. . .. .. .. .....
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL .....$ C --I ~5zg1
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ..... .. .. .. .. ....... .. .. .. .. ......... .. .. .. ... .. .. ... .. .. ..
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) .. .. .... ..... .. .. .. ... .. .. .. .. ..... .. .. ......... .. .. .. .. ...... ..... .. .. .... . .. .. .. ......... .. ..... .. .. .. .. $ b 1 L~ 1 .S`~'-,

UNPAID BILLS (From Schedule D - Attach Schedule D) . .. .. .. .. .. .... . .. .. .. .. .. ......... .. .. .. . . . .. .. .. .. ... .. .. ....... .$
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .. .. .. ....... .. .. .. .. .. . .. .. .. .. . .. .. .. .. ... .. .. .$ ~° 5 y
OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .. .. .. .. .. ..... .. .. .. .. .. .. . .. .. .. .. . .. .. .. ..... .. .. .$
CANDIDATE COMMITTEES ONLY:
YES NO
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ ~~(>(~ ~~ ~ CEO -
For Insi .uctlons, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN
(Rev . 02/96) RECEIPTS
(Including candidate's personal funds)
I] CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

C~ -A To ~\ e ~- ~, I \ I ) Cl-'V- - \ .r-
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


RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK ('d applicable)
NUMBER
ID# So~nr
Credo ~~11 :p~
CK# t ~'t 0 .vA5 \o c- e_
Lk -5
ID# jaw\ e e.s 2 C.rew~ Vw~=cV1

\ C' o
ID# S G ~r ~ez~-e C.red .)~W. V..n ;u'J1

I I I ~ ~~.\Q =- 0 o dy 1
ID#

0o 011 0 \ d . C9 d

CK# \ `\ b 5 c~.r e l~~ 9-


ct a d oa
ID# ~ rra . e .~
~~d ~ w es~v . e :J
CK#
l \o --- 0, 5 ~3 .-k o IAG 00
ID#

CK# a-o `\

ID# ~av Q
C) cK#
PAC), 0o
ID# mod, "~ : \\ : ~nc~S

1a C) 0- o uo
ID# T

`~ b o \ \~ .
CK#
C) oo
SUB-TOTAL

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
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

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev. 02/96) RECEIPTS
(Including candidate's personal funds)

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


I] CHECK THIS BOX IF
AMENDING FORM

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEWED 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 ISAVAILABLE 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


RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK ('d applicable)
NUMBER
ID# Sa ~~ a.

CK#

ID#

\ CK#
t2 L \-X,-) a c:;n r~ o G 77 -1 O

CK# 3~ 3
5o b ~~ LA 0o
ID#
\yo ~\

M
CK#
o .. 0-1 0 C7 06

CK# `g c;
1:J(3-1 IJ \ Y 00
ID# N-q-N t~_

~ ., -

M*
ID#

CK# '~.~5~~
_ (rz" -- ' " 0 00
ID# o ~,n Yr ~~ e v-'

_ e) I
ID# ~ebb~

CK# VSy~ V-~oo 3 \a~~ we b


00
ID#

CK# \\S S ~:.~ov\ .Q-


0 L\

f, _
SUB-TOTAL
$a 5
TOTAL (iflast 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
marriage) (See Page 2 of forms packet.). If surname of contributor is the same as candidate, but there is no Page ,~- of
familial relaUonship, enter 'not applicable' in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev . 02/96) RECEIPTS
(Including candidate's personal funds)
I] CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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


RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER

g W l9~
CK# a

W o_ ~ en N _ T 51 O 0 O

CK#
~~1~C7\ \~9a~-ea-\oo °JC~ZO\ ^c~-~~~- '
Sa d >
o0
-
ID# oy~
CK#
2L 1~, 0 0
I D# e
o, \-0'r Z
CK#
\.~9 c.-A.,q- \o tr
ID#
7e b \(~ C, G..'\ _

ID#

CK# ~ .(D . ~o1C \c~'7J .


\ Cr 0 1 i 0
ID#

CK#
U\ \ \0\ a~1, -e r\ 0 cn
\A 0
I D# `~

CK#
\~) G ~e ~-\ n o --- O ch 111

\oa5 ~-
CK#

SUB-TOTAL

. 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
marriage) (See Page 2 of forms packet .) . If surname of contributor Is the same as candidate, but there is no Page 3 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 . 02/96) RECEIPTS
(Including candidate's personal funds)

COMMITTEE NAME (Must be same as on Statement of Organization) I] CHECK THIS BOX IF


AMENDING FORM

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


RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK ('d applicable)
NUMBER
ID# S~-~ --~~~\e r
ZbR 3 \ tee\ ~a~.~-n \'Z- $
CK#
b~ \
t C7\-
LA')CK# ~9 o,~e.~-\ o'i b

O W
I D#

CK#
RJR C c), cb

CK# y~

I D#
\~r~"r ev1 ©.mow o o

.. `-\
ID#

` CK# a
ID#

CK# 3 \f c~~ \ C~~


d

CK#
\ ~~ ~o o ~' GJnZ C '~
ID#
e ~

CK# 3 \ ~5 Sam. ,
1 CON A c~. U (~
SUB-TOTAL

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
marriage) (See Page 2 of forms packet.) . If sumame 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

CONTRIBUTIONS - MONEY TAKEN IN


(Including candidate's personal funds)

CHECK THIS BOX IF


COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

C-t~~tev~s ~b \ec~ -i\ -7 \.e


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


RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER -
ID# ~~~F ~b-~ : \Soar,

ID#
5~2J t? ~b~Z\e

I
~.cxr \\ 'Jf.) to \-- -) L\ In c)o
ID#
v- ~ owvl
CK# a~
~9 0`~~ ~-\ o o r~~ oO
ID# ava,J-\ S

CK# \ \ C) 3 ~.-b er y t~J 'e.

CG,~~
CK# ~\ b ~i off\ ctr
L)1 \ \ D e.~-\ o -~ cJO'l U

M
I C) 0
ID#

CK#

M
ID#
S CGr~-"2v1

CK# 5 r\GvY,vV~o v1
-~ 00
ID#

CKtt 3 ~J 3 JV-v,~-C~ ~SYIo`r


W .9 a ~o ;. a

\ `~ °'r\°~S \
CK# e ~~
---~ O
~9 -e ~--\o
ID#

CK# \ C\ \ le ~\
a~
r car a\\
SUB-TOTAL

. 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
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 . 02/96) RECEIPTS
(Including candidate's personal funds)
0 CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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


RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DDIYR) AND PAC CHECK (if applicable)
NUMBER
ID# N,4- f- N~~

CK#
\ (5 ~ c_,~
~-e "A.0
ID#

CK# Q\\ 1A
~--~I CaV1S ~ [. ~ 1 ,ice -
l

CK#
1(: A
ID# \C~e5SQr~C~~c, : ~-~
~~ Nk
CK# 10
\ C` t~ e -' ~eIc

M
N
ID#

CK# a.'~ a oY ~. S k.
1-~ \ Q ;.-
ID#

CK#

ID#
c-

CK# ~~\A

ID#

CK#

SUB-TOTAL

. 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
marriage) (See Page 2 of forms packet.) . If sumame 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 . 02/96) I RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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


RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER -
ID# - vas e `C1 e s \
p $
CK#
-e Co
ID# .

CK# ' AA We 5kvZ e .,)


o Cg - o0
ID#
~w~v~ ~o~erS
CK# 2~ 5 ~~~^ Sk
.
ID# --~-
vv~ ~o w e. r ,
CK# a 4,0 5~-
WA~ Oo
ID#

CK# a,C~ 5 Y1 - ~\ c~LV~e k-k-

ID#

CK# ~.b, '; oX ~o a5


ID#
S
CK# ~~ 5 , 1 .' :
© -~-'e ar- OO ~~ O o,
ID#

CK# \ R ~Q C GC~~/~ G ~Y'.

Q.~e it\o O ^' v Ld


lo# .C Z
-R:) ~v\
CK# 3 a c~ ~o ~~- e as o~ S

ID#
-75 ~ .P c w o. .~--
CK# \c ib \o WeS*
\ 0,0\ C G~ \\
SUB-TOTAL

. 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
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 . 02/96) RECEIPTS
(Including candidate's personal funds)
101 CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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


RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER

M
ID#

\ e\)\(:)\L

m
k _4
~OC7 \10
CK#
w K .y- 0-- ob

CK# C
r a _ C1
ID#
Jo \r. v~ ~~\\, v o, .rte
CK#
mw _ \ - %,C~~, ob
ID# 0,J e we~pe "t-
CO AS \~a~ e_
CK#
0

CK#
\ C\ A () \ ~~ .-\oar' `~, , ©d
ID#
5
2 v^~~ i,v~ 9 .
CK# '-\C'o6 vh way ~r
b
ID# ,, ~o \e r

ID#

CK#
Q mar-\O "~
ID# Vy-\ ~\\ev1

SUB-TOTAL
$ I"~h
TOTAL (if lastpage 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
marriage) (See Page 2 of forms packet.) . If surname of contributor Is the same as candidate, but there is no Page , - of -L
familial relationship, enter 'not applicable' in the relatlonship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 02196) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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


RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER
ID# `~-~e ~r 2 e c~~ c
$
CK#
y
ID# --~
~1Y\9- r~J v- 1

CK# ~ ~3 Cy~ ~\p ~ "k-~t V .\\e


O \ u < A 0 '0C)
1

\y5 30~~~ ` S,-,,-~ e rao~


CK#
c w
AVN C-)
ID# ~o 5 o,

CK#

ID# \3 F SCvx--, 9- Cd~..r\c~\ lQ\


a
~\

CK# L\3 ab o_w .

I D#
ko p, d Sty V.' 0
. W~ o,.c_

0 -:h
ID# F. \rJP S~~ Y

o C7 Oc)

I D#

CK# 000 Ec~s E Cs "~-a"-.,.~ v e

CK# °\(7\ q y ~.~.

SUB-TOTAL
$
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 consangulnlty (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 'A 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 . 02/96) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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


RECEIVED (it applicable) TO CANDIDATE' RECEIVED
(MMIDD/YR) AND PAC CHECK (if applicable)
NUMBER
ID#

CK#
11 \ e e ~' ~ . OCG

CK# ^\
Y Y1 O~ C) ;m ~V
I D# ;c'r e_

I D# ~~

cK# G3a~-\
moo
ID#

CK#

ID#
je F~ Sc\nv~e \\
\1v
CK#

ID#

CK#
~. V \
ID#
"-\Corc --TSC~av,'<Z
\~ v'V\O v,\4, C
CK#
06
ID# e~c--

CK#
o
V~Y~~~evv~~ 'Z,e
cK#
OCR
SUB-TOTAL

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
marriage) (See Page 2 of forms packet.). If sumame of contributor Is the same as candidate, but there is no Page 1S2._ of
familial relationship, enter 'not applicable' In the relationship column . (for Schedule A)
For Instructions, See Back of Form
SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


S A MONETARY
(Rev . 02/96) RECEIPTS
(Including candidate's personal funds)

I] CHECK THIS BOX IF


COMMITTEE NAME (Must be same as on Statement of Organization)
AMENDING FORM

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


RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK ('d applicable)
NUMBER '
ID# ~co \V, e~
CK#
-\b(3
V), IA O\ ISO oc)
ID# 1 k 3 '(y ~= C_ inn e.

Ia 5~~ \
ID# I0 L\
`a-L\\5
cK#
\ 1\ bi 151 \ e vy,o~ Q 50 \ Do o Cx)
ID# 1 y b ~\0 Q emu:. \ ~ e rs QSSoc, ~~L

CK#
\ \ 1 1 3 3 lp ~\ e S ~n c : v1e5 . - C~ C~ , Cx~

CK# L-\tt'V C) \A 00\a Q_ \-\


1 10
ID#
Z Q 0 r-.) C) oo . cc
L,) C) cE ptC

ID# -7

\o \3~
ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL
IA oO oc9
TOTAL (if last page of this schedule) L4l
a Jd-
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

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev. 08/96) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 01 CHECK THIS BOX IF
-
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

'70 ~\QC4- - \\ -t\P4-


CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE CATEGORY- AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE I (SEE BELOW) I EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE TRANSACTION)
(MM/DD/YR) AND PAC
CHECK NUMBER
1D# ~Y1 ~ ~~\ 20
.W\
5 ~C1 O r}~h ~\AC.~-P ~-
cm .
CK#
S~a.1,oX \r..)a~~es\oc moo, Sc~~~ 'R> %_k-q_V114w\e v-14-- $ 5o , oo
1D#

CK#
6I6~0 r ~eS ~Mo :v~e~ .~-- 'JCS
1D#

CK# 5 46 , -7V-7, .r.a-v'~o.: 5 e rr


I0)lk\Uk aao-5 ~9yVy2~\c G =C\ v 5 01,00
ID# r1o~= ,~ 3~
yr s
two
CK#
\0\-i\ o _0es Vna_ v,P> \y b- ~-
1D#
\ 1 ?~ c1 C; ~S r
CK#
to o ~eS ~(Ylo : r~pS S~

v-r\ ar\c e ,
CK#
VAI- `QL '~. o to tea` 5(,-j03

J
SUB-TOTAL $
\ Sb~
TOTAL (if last page of this schedule) $ (S
U

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

'Campaign funds may be used only for:


(1) campaign purposes,
(2) constituency expenses, and
(3) educational and other expenses associated with duties of office .
Please insert the applicable number in the category column for each expenditure .

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 on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i) .)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 02/96)1 CONTRIBUTIONS

p CHECK THIS BOX IF


AMENDING FORM

DATE RELATIONSHIP TO DESCRIPTION ESTIMATED FAIR


RECEIVED NAME AND ADDRESS CANDIDATE - (if OF IN KIND MARKET VALUE
(MM/DD/YR) OF CONTRIBUTOR applicable) CONTRIBUTION
7-eb~n= e \oya $
`~5y\ w~d a\~ . Z
C~ W t S ~c e S ~fY\ c~ : v~~ 9 00
.'
YoT'2.\fY
Ck

l ebb .`e
t c O v o,~cSw~ S
LA c J A \ ~,OCb h c \~ o. .

``0 . 06
.~r` . ~ ~ v\
~rY10 v. < v1 ~

7~ b\o e
t\ci y \ w0

\rX1o
^Oe \Ob - R ~\ o' \c

L\CJy\ woodo .v, a.

-Z-> t bbZ e
~oo-c- ~\~ ;ZpS
i-\Sy\ wc~o b .~o.,h ~

CA C_ \fY-x V"e

k-U OG'.
yCJ~\ ~ \700 ~ \ ate ~
SrU ('-

\O ~9e e o: ece ~ :c~

L\ 5y
o
SUB-TOTAL $

QD 'a
TOTAL (if last page of this $
schedule)

'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page ~- of
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 02/96)1 CONTRIBUTIONS

0C 'C~'LeNn -> \c7 ec'r ~ : \\ 1Jo'~ \4~


p CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP TO DESCRIPTION ESTIMATED FAIR


RECEIVED NAME AND ADDRESS CANDIDATE - (if OF IN KIND MARKET VALUE
(MM/DD/YR) OF CONTRIBUTOR applicable) CONTRIBUTION
` ebb :
ysLk ~ ~ 0C)a\a\,a o~~k r°

X0\3-31 7

SUB-TOTAL $

TOTAL (if last page of this $


schedule)
5,C) t
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page of
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE _
11 THIS FORM IS USED BY CANDIDATES' COMMITTEES ONLY H CAMPAIGN
(Rev. 02/96) PROPERTY

COMMITTEE NAME (Must be same as on Statement of Organization) ATTACH SCHEDULE H TO


EACH REPORT, MAKING
Te. deck ~~ \\ 1)oAz\c <' CHANGES AS REQUIRED .

R CHECK THIS BOX IF


PART I - ONGOING INVENTORY OF CAMPAIGN PROPERTY PART II - SALES OR TRANSFERS OF CAMPAIGN PROPERTY ** AMENDING FORM

Date Purchased
(Schedule B) Purchase Current
. or Date Received Description of Property Price or Est. Value at Fair Date Name and Address of Purchaser/Donee Description of Property Sold? Sale Value of
(Schedule E) Value When Market This (MM/DD/YR) YIN Price Donation
(MM/DDNR) Acquired* Report

12. CA' ~o

TOTAL VALUE CAMPAIGN PROPERTY THIS REPORT ** PROPERTY SALES & TRANSFERS TOTAL TOTALS $ $
(TRANSFER TO SUMMARY PAGE) $ g.o(-,) o - UU (TRANSFER TO SUMMARY PAGE) $

* If estimated, show est. beside figure . (Attach Additional Schedules if Needed) Page of i Pages
(For Schedule H)

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