FOR INSTRUCTIONS, SEE BACK OF FORM fom DISCLOSURE SUMMARY PAGE DR-2 | isccosure SMITE WAM Hi same as on latpont of Doe (Rev. 05/2002)| _ REPORT ° TT Tote, | ‘fees Alaa tiiealsia or londdate Election a weoRTant: neato conmite you are reporing tee: Ll comm # W080. wooed {5 }County PAC ( 6 jBallot IssueiFranchise Committee (7 }County'City Central Committee Audited — CAtoaaTe Coumarvaia oT Somes Peres case re emceees h SAAT IAI 7 LOLS, ‘SIGNATURE OF TREASURER (or person filing this report) TELEPHONE DATESIGNED Routine Penalties Due For Late Filed Reports Range from $20 to $800 SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: TAM FILING A, LY, : REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR. (report date) Indicate one CICHECK iF AMENDMENT TO REPORT DATED Local Commies, ent Dato of Election C1 Check i this is final (termination report and attach Notice of Dissolution Form DR-3. | County & Local Commies, ener Comiy in {You must continue to file reports until a Notice of Dissolution i led.) ich Elections held ‘STATEMENT OF CASH ON HAND. CASH ON HAND atthe bognning of he reporting period. (This the total ofa monies held By the commitee. This amount MUST be the same asthe cash on hand at the nd - of the last reporting period, or must be zero hiss frst repr fled) s 6454.75. ADD TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contributions total (Attach Schedule A) ("also see in-kind below) LI bL. 39 ‘Schedule F: Loans Received total (Attach Schedule F), ule H applies to Candidates’ Committees Ont SUBTOTALNW§ 63957 buf ALCO.00 SUBTRACT TOTAL MONEY SPENT THIS PERIOD. ‘Schedule B: Expenditures total (Attach Schedule B) (**also see debts anc loans below) ‘Schedule F: Loan Repayments total (Attach Schedule F) CASH ON HAND at tho end of this reporting period if final report, balance must be zero) (Aitach OR-3) “UNPAID BILLS (From Schedule D - Allach Schedule D) “IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) “OUTSTANDING LOANS (From Schiedule F - Attach Schedule F). CANDIDATE COMMITTEES ONLY; CONSULTANT BREAKDOWN (Schedule G Attached”) Yes No VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) 8For Instructions, See Back of Form [SCHEDULE CONTRIBUTIONS ~ MONEY TAKEN IN crew conn | “ReceTs Urcing carder) TO check Tas sox COMMITTEE NAME (iia! be same as on Statement of Organtaton) AMENDING FORM STATE CANDIDATES NOTE: IF CONTRIBUTION IS RECEIVED FROM A \ (POUTICAL ACTION COMMITTEE) LIST THE PAC IDENTIFICATION sta [NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF 1D NUMBERG is AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD CAUTION: Section 688 32A(6),lowa Code, prohibits the use of information copied from reports and stalements for soliciting contnbutions or for any commercial purpase by any person other than statutory poltical committees, DATE] PACT NUMBER TAME AND ADDRESS GF CONTRIBUTOR FELATONSHP | AMOUNT] TPFOR recenven | ti applicable) Focanionte: | Receiven | “runo. umioorye) | AND Pac CHECK ‘applicable RAISER NUMBER. income Savi US Fank aur oa! "9 3534 Tn soll Ave . ia intevést__|DesMoides, TA 5031 eal (oF Nationa Assoc wae Wovkers| 794 |oa ping (180 tsk ST NE, 8 700 W100. ck# B/58 washington De. doc 100.25 Dy, rHallon |ochecting ERB oven Ave a mnterest Des Aint 65, TA 56. pe Bini eee ton 8)i716% | oxe457 | P.O. . 30.00 dink , A OF B/ANGR | exe (A035 100.00 8 7 2 PF AAU S. 36 5 Lala, - ples ow iter TA ee as Y OF Susan Totter) 819410% | exe 472) |YoM wonith Lane NE BSCS iowa Wty, Ty ABU 0 OF Lenore Hate. afacfo2 fom 1753 (ane Higek Springs Civ. BLO Ny TA 5 a4 CJ soon K Ryan, Ans arson, $)40[0a $103 |3214 Be ye C0.0 f2clon |oxe oes sou 24,09 402 io US Bak aacloa agpeecing 34 Ingit soll Aue /.20 frat : ‘SUBTOTAL ~Dilonure aures canddate orien fo cle he elabonaip fay rave making a cnrbuon be Commitee Reltonatvp rust be show tate thi degree of consanguinty (ood elses) ard ae (latives by riage) (See Page 2 of forms packet). If surname of cortibutr isthe Game as eancidate, But there fe no Poge a2 familia relationship. enter not applicable inthe relatonsne columa, ‘ferSeneduia Ay TOTAL (if last page of this schedule)For Instructions, See Back of Form [SCHEDULE MONETARY CONTRIBUTIONS -- MONEY TAKEN IN (eccemn | necaiers Uineusing candidate's personal und) 0 check tis 0x iF [COMMITTEE NAME (i/ast be same as on Statoment of Organization) AMENDING FORM Tou RU itiealAchion Cov Codidate Election STATE CANDIDATES NOTE: (F & CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMWITTEE) LIST THE PAC IDENTIFICATION [NUMER ANO THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS Is AVAILABLE FROM THE [OWA ETHICS AND CADIPAGN, DISCLOSURE BOARD CAUTION: Section 688,32A(6), Iowa Code, prohibits the use of information copied from reports and statements for solicting contioutions or for any commercial purpose by any person other than statutory poltical committees, DAE] RSTO NONSET TATE ANG AOORESS OF CONTREUTOR FELTON] ANON neceiven Tocanpioare | receive iawrborre) ‘ranpeatle) RAISER cow / Newne and. Fir tricia Kelley 845 ¢¢ ofsle. lo Kove A500 lslea | ox Uyyy Noua City tA S246 tae HoAnn Coops” W5loa \oxn 455 | 19506 Letsuye Ave. ASLO Wadi! Bluffs, TA im Katnryn ihener- Rha 9/516X | one 1739 |3b10 Viola Mae ATE = mes TA Be le Srithier a 3/02 ) Pleg.oiiN View Rd 5b ‘sh ieee init fain A Sbis2 iceaaae seh - 94 1367 W Bite ot. DOLE aNi2loa joe 774 er ayy 523 h) (08 Donna Reni panger NBIOA, | oxw 8.499 14515 5 Oakinood Df I Aso SvSan Hebe dea u 113102. 3 WIR) Q80th S 35.0 Z orn 383 pawn Git, 4 50401 vata lovasse [elias a (BIOA x 1027 W. 14th Si A 4 COA) ena Fa ls TA soll: Ld Mutha Sunue Nelcr | cxeauas [igre crfora # 35.00 Tok tu, TA 5420 DF Leta Wall DNiblo | cxeF|.20 156 neg Pd wuo 10.00 JO UGS ‘SUBTOTAL TOTAL (if last page of this schedule) ~ onan eins arate crmtens io dato te latest of any rive mak a canon wine canenne era rt beshor ate th ee crop festa we ey cee Imanag) (So age ome sta). eamamectcoizccrfte same avcmaoae bare oe rae Aa F flesh. enfrnot weave’ he aon cose TersaraGuFor Instructions, See Back of Form [SCHEDULE A MONETARY. CONTRIBUTIONS -- MONEY TAKEN IN (Rev.0597) | RECEIPTS \Inluding candidate's personal unas) D1 check this 80x iF [COMMITTEE NAME (Must be same as on Statoment of Organization) AMENDING FORM. Politi v Cand i c STATE CANDIDATES NOTE: iF A CONTRIBUTION S RECEIVED FROM A STATE PAC (POUTICAL ACTION COMMITTEE) LIST THE PAC IDENTIFICATION [NUMGER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN ALIST OF 1p NUMBERG Is AVALABLE FROM THE IOWA ETHICS AND CAOIPATGN. DISCLOSURE BOARD CAUTION: Section 688 .324(6),lowa Code, prohibits the use of information copied from reports and statements for solicting contributions or for any commercial purpose by any person other than statuory peltical committees, DATE PACTONUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP | AMOUNT] VIFFOR RECEIVED (if applicable) yocanpioare* | RECEIVED | “FUND. (mwooiyR) | AND PAC CHECK (applicable) RAISER NUMBER, INCOME i ST 4. | FAAIOA | cxe 151 484 Lannon Hill R A500 Suh Deeovah TA S Aoi DR equings [US Back qarlon ot (329 Ingersoll Ave. 34 ous Des Moines tA 50 31a Poheehing " 36/0 Sb 413010 CK wteyost ja [Pavey SHEE os 10fa/ea, 1800 6vON Ue., 2 oo CH SHS | Mest bes (Muines A SCObS. ae Katherine Wvuse 10/|c2 | one 155) [14a Ak lawn Ave. 200.00 Towa tity TA Saas Peles eee vlolea 5 0. Bok 433 50.00 enicine | 185 Aiate Genie a 50847 ° be Suen atin 1OlbI03 | exe 3y.0 2 rand Ao 4 100.00 OF cKe ‘SUBTOTAL TOTAL (if last page of this schedule) + Disclosure an equices candidat commites ta close the claonthip ofan eave making conebuton to the commits Relstonanp must be shown othe hes degree of conaanguly (door relates) an fly eatwes oy ‘mariag) (See Page 2a forme packet}. surname of conti the earn as candate bl there i no rage 3 2B famital relationship enter “not appieable” inte reltonsip column ior Sepecuie AyFOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE MONETARY EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (rev.o007) ) EXPENDITURES STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE Cl CHECK THIS BOX IF PAC CHECK NUMBER FOR EACH EXPENDITURE. LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ‘AMENDING FORM ETHICS & CAMPAIGN DISCLOSURE BOARD (COMMITTEE NAME (i/ust be same as on Statement of Organization) of Jandidate Election NAME AND ADDRESS TO WHOM PURPOSE "AMOUNT oot cn SCRIBE TRANSACT CAPENOED NuMBer Cheek writing error ont 774 VOID F330 Fvanda Ragan for Toun Sepraste ipa 5 10 Iadh SS. NLU Campaign contri in) 300.00 ont) fuente FA at pag a 449 (Citizens for Bilt Fink | @amanign contri "1 oT [BM Saath hwy ge 7 iF Haat, Soe 7 nin Black Loy State e S52 E. Sev. S. | campaign eontibutish %0-0 oO TTT Were tA Son >- aign eon bute DFRLA _ |Myors fo the Howse. eanppaign dontrihiatie cKe 778 |4 WOedland Heighe 100.06 To oO pF Cheek wi iting Lv f0F- cKt779 VOID Di jaa4 |soaF Dandekar Campuan Commirec , , |A731 20th Ave. ian eb iis 0.0 cor 780 ATI ares ue eoompaugn enti butie) Ac0.00 RYT Aneiteer for Fenare cK# 78 | £a. NE AL6.00 Canpougn contribetim) 350.00 ‘SUB-TOTAL cE TOTAL (if last page of this schedule) [THIS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: Purchases of certain campaign property costing $500 or more must algo be inventoried on Schedule H, (Refer to Schedule H instructions.) Expenditures to personsientties providing consutng, advertising. fund-aiing. poling, managing. organizing services must alzo be detail terized on [Schedule G bythe amount, purpose, and Gate of each type of exDendture made by the person/entiy on behalf of the candidale's committee. (Refer to [Schedule G inetuctons and lows Cade $5.6(9))), page| ot 3 (tor Schecule B)FOR INSTRUCTIONS, SEE BACK OF FORM [SCHEDULE B MONETARY EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (eafosen | erence STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE ‘CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE O CHECK THIS BOX IF PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF 10 NUMBERS (5 AVAILABLE FROM THE IOWA ‘AMENDING FORM ETHICS & CAMPAIGN DISCLOSURE BOARO ‘COMMITTEE NAME (Wut bo same as on Statement of Organization) ‘CANDIOATE TNAME AND ADDRESS TO WHOM PURPOSE AMOUNT IDNUMBER EXPENDITURE: (DESCRIBE TRANSACTION) EXPENDED EXPENDED | (applicable) (Oisburserment) WAS MADE qawoore) | "AND PAC e cam nN Contr) ba~ cK 78.2 fa Hern Babee [Gane Focien capa eontyi buen #783 Iason Qty dA Oyo > DESST ead for giireens ampaign conn hater] ty : ‘ Ke 7h. 1, Cr eaaid i Raab — Adebexr fo tuce dampaign contrilouon 104 4} ox 755 Iiena pester et 5408 Péso7e [Tanowstey VloaeHl Pedersn canpougn eonknbdhion , [aco E cH 786 ESRI OL SA ps509 DFC [Treinen Tor Home Dismieffuy COMMITEE ; Iytcloa| cxe 787 |x sk caurpvuigh contri bution Drag] (Nien Kk eanipaiqgn contri nithen IOI} cxw 788 29, i en eo DATS) | Towans for Sheaver campaign dontri bution 1OMOIOA | cw 734 ere 3 TOTAL (if last page of this schedule) ‘SUBTOTAL | [THIS BOX APPLIES TO CANDIDATES! COMMITTEES ONLY: Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions.) Expenditures to persons/entties providing consuting. advertising, fund-asing, poling, managing, organizing services must also be detail terized on ‘Schedule G bythe amount purpose, and dale of each type of expanciture made by the personventiy on Geral of the candidate's commit (Refer to Schedule G instructions and lowa Code 56 6(3)()) vw ao 2 (tor Senedue 8)FOR INSTRUCTIONS, SEE BACK OF FORM [SCHEDULE B MONETARY EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT eatery | eecirniee STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE ‘CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF PAC CHECK NUMBER FOR EACH EXPENDITURE. & LIST OF IO NUMBERS IS AVAILABLE FROM THE IOWA ‘AMENDING FORM ETHICS & CAMPAIGN DISCLOSURE BOARD COMMITTEE NAME (1ust be same as on Statement of Organization) Seite OLDEST PURPOSE FROUNT EXPENDITU (DESCRIBE TRANSACTION) EXPENDED (Disbursement) WAS MADE seed pantersot TomFi en Fae Pe a 7 igrence He enp.gn contri ution sh Reith A Kuarvian For Senate a ay 5 : cea) (HCO ParkuieoDy. CApUpeonii bution | 1c0.06 eA cemfigla ee 5253) , wmz9a (olsonfur Kep. Comm. aimpaien eontritattion Gil 4 es Greene St lal RA carer NTO J BF DEG ule 1361 People Ge Pan, Camytiqn etnfribulticn toile | exe 793 Foer Devoe, 3A stu! . 355 uentorIugne eam fontrianen) ont 56501 phat a pugn contri Lest aan, TA = 35/8 1D 4.33 Nbelcon (b Tou Hous Py 5‘ 22. |3qc6 Monterey spy kampnign contribubien| j0o.cu Ho) ons 745 Waterloo, 7A. Mor Py DH SOT Papacy Face lpedery A BOO E nels) oe CHT9G [Des Moines TA) 3059 DF 1€C.CO All.00 ILO. 00 Campign écotri buticr) 400.66 ck SUBTOTAL TOTAL (if last page of this schedule) [THIS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H, (Refer to Schedule Hinsructions ) Expenditures to persons/entites providing consuting, advertising, fund-aising, poling, managing, organizing services must also be deta temized on [Schedule bythe amount purpese, and date of each ype ol expencture mad ty the personemty on deal lhe concidae’s commitee, (eter to Schedule G nstuctons and twa Code 55.0090) ) Page eee (for Senedue 8)