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FOR INSTRUCTIONS, SEE BACK OF FORM FORM DR-2 | osctosure DISCLOSURE SUMMARY PAGE #39 (Rev. 026) | REPORT Parone uso a9 CTE HAE a a so Sala oT OG fennel pt |Cusn~ Council of the State of Town + Core Fumo —_ beds! putes IMPORTANT: Indicate type of committee you are reporting tor: [at] Computer (1 )statevidereistatve Candie (2 )Statewite PAC (2)Siate Pry (4 YCouy.cal Cancidate (5 ycauny PAC (6)atat issuer ance Commitee (7 County Catal Commie {2 3gorpop Sate Cancsen™ IRE OF TREASURER (or person fling This report) TELEPHONE Penalties Due For Late Filed Reports Range from $10 t SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: 1AM FILING A REPORT FOR ANIA (1) ELECTION /(2)NON (opr ey Indicate one [[] COCHECK IF AMENOMENT TO REPORT DATED Local Committees, enter Date of Election 1 Check if ths is final termination) report and attach Notice of Dissolution Form DR-3. | County & Local Committees, enter County (You must continue to file reports until a Notice of Dissolution is fled.) 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 (oF must be zero if this is frst report fled.) a... ‘ADD TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contributions 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 SUB-TOTAL 8 [AZA5.25— ee aaron Sou ‘SUBTRACT TOTAL MONEY SPENT THIS PERIOD ‘Schedule B: Expenditures total (Attach Schedule B) ‘Schedule F: Loan Repayments total (Attach Schedule F) CASH ON HAND tthe end of his reporting erod (final report balance must be zero) (Attach OR-3) UNPAID BILLS (From Schedule D - Attach Schedule D) IN KIND CONTRIBUTIONS (From Schedule E - Atach Schedule E). OUTSTANDING LOANS (From Schedule F - Attach Schedule F) CANDIDATE COMMITTEES ONLY: CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) s ~ eno unit Sere vULE, A | monetary CONTRIBUTIONS — MONEY TAKEN IN ABV (Rev. 0296) | RECEIPTS (acudig cancidate's peronal nds) G Ol CHECK THis Box iF (COMMITTEE NAME (Must be same as on Sialement of Organization) ‘AMENOING FORM [Qusa~ Council of the State of Towa ~ Gore FUNO [STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION NUMBER AND THE PAG CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF 1 NUMBERS IS AVAILABLE FROM THE IOWA ETMICS AND CAMPAIGN DIseLOSURE BOARO. CAUTION: Section 688.32A(6), lowa Code, prohibits the use of information copied from reports and statements fr solicting contributions or {for any commercial purpose by any person other than statutory political committees. PAC IO NOMSER RANE AND ADORESS OF CONTRIBUTOR RELATIONSHIP AMOUNT applicable) TO CANDIDATE RECEIVED [AND PAC CHECK \tapplcable) NUMBER, OF coe Menbersh;p dues DF oxe $ 1031.25— OF ‘SUBTOTAL $103]. 2S— TOTAL Gf last page of this schedule) 8 1031. 2S + Discosure law requires candidate conmitees a dsoxe the relatonstip of any reatve making a contin othe

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