Hoa INSTRUCTIONS, SEE BACK OF FORM a FoR 7 DISCLOSURE SUMMARY PAGE DR-2 | oisciosune COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 01/2001)|__ REPORT ). com GS! MrORTANT dere pnt commie you sro nortng ton [2] on re — vee (1 Stata eit Conte (2 )Sonde PAG (Sat Pay (4 Counce Canciats yeh | {J jcounty PAC (8 )BabetIssue/Pranchise Committee {7 )Countycty Central Commitee {2 )Suppont Slate of Candidates Computer CANDIDATE COMMITTEES ONLY: Candidate Name Pollical Party Office Sought. District (it Senate or House) Cnn H- Weber. ‘SIGNATURE OF TREASURER (or person filing this report) Routine Penalties Due For Late Filed Reports Flange from $20 to $800 ‘SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: vamFiunaa___ 5/19) 0+ REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR, (report date) Indicate one [1 COCHECK IF AMENDMENT TO REPORT DATED. cal Commitoss, enter Date of Election Ci check it this is final (termination) report and attach Notice of Dissolution Form DR-3, _| Gosniy & Local Commies, enter County in ‘(You must continue to file reports until a Notice of Dissolution is fled.) wich Election is held ‘STATEMENT OF CASH ON HAND CASH ON HAND at the beginning of the reporting period. (This is the total ofall monies held by the committee. This amount MUST be the same as the cash on hand at the end 4 of the last reporting period, or must be zero if this is frst report filed.) 158.0 ‘ADD TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contributions total (Attach Schedule A) (‘also see in-kind below) ‘Schedule F: Loans Received total (Attach Schedule F).. ‘Schedule H: Total Sales of Campaign Property (Attach Schedule H) ule H applies to Candidates’ Committees Oni 42.95, ‘SUB-TOTAL..... §O0.74 SUBTRACT TOTAL MONEY SPENT THIS PERIOD. ‘Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below), 528.03 ‘Schedule F: Loan Repayments total (Attach Schedule F)... CASH ON HAND at the end of this reporting period (final report, balance must be zero) (Attach DR-3), ZiIZ-Ib “UNPAID BILLS (From Schedule D - Attach Schedule D) = : ‘IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E).... s “OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ANDI )MMITTEES ONL) CONSULTANT BREAKDOWN (Schedule G Attached?) Yes No VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) sFor Instructions, See Back of Form SoREDULE : A | woveran CONTRIBUTIONS ~ MONEY TAKEN IN srovtaan | MONETARY Cecg cant’ pero Nd) C0 cueck THis sox [COMMITTEE NAME (Must be same a5 on Statement of Organization) [AMENDING FORM [STATE CANDIDATES NOTE: A CONTRIBUTION IS RECEIVED FROMA STATE PAC [POLITICAL ACTION COMMITTEE) LIST THE Pac IDeNTINCATION RUNBER AND THe PAC CHECK NUMBER I THE DESIGNATED CCLUMM. ALIST OF © NUMAERG I AVARASLE FROM THE IONA ETHICS AND CAMPAIGN Srsctasune Sonn CAUTION: Section 688.32A(6), lows Code, profits the use of infomation copied from reports and statements for solicting contbutions or for any commercial purpose by any person other than statutory political comities. DATE FACTO NONE THAME AND ADDRESS OF CONTRISUTOR ANOUNT RECEIVED (i apptcabe) RECEIVED qumoorve) | AND PAC CHECK NUMBER. Zmembeoship dues BS membership dues 4/29/04 I membershiy dues 4/24 Jost Jewelry Sales Sh ape4 Zmembershp clues ‘SUB-TOTAL TOTAL (i fast page of this schedule) + Disclosure iw requires candidate commies lo citclose the retationshi of any eave making a contbutlon tothe commie. Rolatonstp rust be shown to the tid degree of coneangunty (200 rlavee) ana ay(olatves by tmartogo) (See Page 2 of foas packet). I sumama of corer ste same as candidate, ut heres ho page ot _t fata relationship, enter not applablo" nthe rlaenship cola, Te Senese A)FOR INSTRUCTIONS, SEE BACK OF FORM [SCHEDULE EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B ee - - (Rev. 0997) | EXPENDITURES STATE PAG COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE EANDIOATES st THE CANDIDATE IDENTIFICATION NUMBER I THE DESIGNATED COLUMIN AND THE Cl cHeck THis BoxiF PAC CHECK NUMBER FOR EACH EXPENDITURE. ALIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM ETHICS & CAMPAIGN DISCLOSURE BOARD. (COMMITTEE NAME (Must bo Same as on Statement of Organization) TANOONTE] NAME MIO ASORESS TOVON FORPGSE ove | ionumocn SENOHTURE (0esonibe TRansACTION) exrenoeo | (rappin) (Cisoursoman WAS MADE cawoonm | “AkBeac cna susan Pane Stor Gashemcant Meal for meeting Ze * 3/Afo4| "1303 | Coralurlle, + Spector $B. iF Cathy Cause, ‘ ee 14oP Scuth Catige Dr, Pestage F cepres H/2efod | "(304 Cocaluctle 4 MSZ 7 a Se anbe Service change Yypofot | B05 Bee 30.00 pete (Few | State Shaveofaney Me fare leer BB6 Oud pated |S Bow |" S77 soe Sg 390.00 OF Send et Disarch ShaveoF ates ee $21 Forest Heil Dur We 25 4/27/04 (307 Goralurie, (A 13.30 1OF ‘State TeaSuser IFRW | stati spare of huey on BINT 140+ Sh 26 lo. sirijou| 1308 Farragut, (a Pe) (08 Stora Diswet Wweas, | AuShct Shave of Aawy E21 Fovast thw, 26 35 Shrnlot | 1304 Geloite, ob ‘SUBTOTAL $ 52% [THiS BOX APPLIES TO CANDIDATES’ COMMITTEES ONLY: Purchases of crtain campaign propery costing $500 or more must sla be invented on Schedule H. (Refer to Schedule H instructions.) TOTAL (if last page ofthis schedule) Expenditures to personsieniies provicing consulting, advertising, und-asing, pling, managing, organizing services must also be deta itemized on 'SchectleG by the amourt, purpose, and dat ofeach typeof exponcture mae by the personentty on ena ofthe cancate’s commie, (Rey Schedule G instructions and twa Cove 55 6(3))) Poge tat (tor Scheaute 3)