FOR INSTRUCTIONS, SEE BACK OF FORM 4 = DISCLOSURE SUMMARY PAGE (42 oS eee Ona wr. Council of the State 26 Touxa- COPE Fino | |nees SOP ere ery esis (1 )Statewisehegstative Candidate (2 )Statewide PAC (3 )Stale Party (4 )County.ocat Candidate (5 XCounty PAC (6 )Baot ssuerFranctise Commitee (7 YCounty/Ciy Central Comnttee Gq) 235-6603 G-/0-02 E OF TREASURER (or person filing this report) ‘TELEPHONE DATE SIGNED Penalties Due For Late Filed Reports Range from $10 to $40) 1 3 rag ‘SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: VAM FILING A REPORT FOR ANIA 1) ELECTION (@)NON-ELECTION YEAR. (cepopoaie) indicate one [7] (COCHECK IF AMENDMENT TO REPORT DATED. Local Committees, enter Date of Election i Check i this is final (termination) report and attach Notice of Dissolution Form DR-3. | County & Loca Commnees, enter County ia (Cou must continue to file reports until a Notice of Dissolution is fled.) which Election is held STATEMENT OF CASH ON HAND CASH ON HAND at the beginning of the reporting period. (This isthe total ‘of all monies held by the committee. This amount MUST be the same athe cash on hand a tne end ofthe ast raping period or must be zero if this is first repor filed.) ‘ADD TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contibutfons total (Attach Schedule A). ‘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) . OO SUBTRACT TOTAL MONEY SPENT THIS PERIOD ‘Schedule B: Expenditures total (Attach Schedule 8)... ‘Schedule F: Loan Repayments total (Attach Schedule F) 100.02 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 &). OUTSTANDING LOANS (From Schedule F - Attach Schedule F) CANDIDATE COMMITTEES ONLY: CONSULTANT BREAKDOWN (Schedule G Attached?) VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) s(POM INSTRUCHIONS, Sit BACK OF FORM a id a EXPENDITURES ~ MONEY SPENT FROM COMMITTEE ACCOUNT Pe ee STATE PAC COMMITTEES: NoTE: FoR conTRBUTIONS MADE 70 STATEWIDE OR LEGISLATIVE FF ee 1 CHECK THS BOX IF AS eeee tunDcn FOR EXON ESTERS AUST OF IS MAMBERS 1S ANAMADLE FROMTHE IOWA pei, Chace Cuban 0ScLoSUtE Sonne. owMiTTEE WANE (ost Be same axon Sateen of Organizer) Cwa-Counail ef che State. ofttwp- Cope Fur. ire Tia Ab ASDC To WHOM EXPENOTORE FORROSE—] RST oxre_ | ronowear ‘pooner Was Ware emmoates see | exrennen exponen | trepetesiy Sdlowa ene gewoon | “anopac Me) ence nna 08 836 | Kagan Fer Town Senate 35/02 | cus Rich Larence, Treasurer. fale 1969 | 100.00 10# Ke ( ) IDE Ck# () OF owe (4 oF one 64 iF : CKt - ( ) oF aa cCKt () SISAL |S oa @ TOTAL itlast page of this senedule) |S 75a, [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 axsociated with duties of ofc. Ptease inset the applicable number inthe purpose column for each expenditure, Purchases of certain campaign property casting $500 oF more must also be inventoried on Schedule H. (Refer to Schedule H instructions.) Expenditures to personslenties providing eonsuting, advertising fund-aising, poling, managing, organizing services must also be detail temized on Schedule G by the amount. purpose, and date of each type of expensiture made by the persondentty on behal ofthe candkdate’s commnttoe. (Rete to Schedule Ginstrucions and lowa Code 55.6(3)0.), 1 Page 1 of schedule B)