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Late filed reports are subject to possible civil and criminal penalties.
SE INSTRUCTIONS BACK N COMPLETE THE FO WING SENTENCE :
t AM FILING A e REPORT FOR AWA (1) ELECTION /(2)NON-ELECTION YEAR.
x
LUM
(report date) I- /Z
C i {- i z e n s -t-o r 54u- 1e r
STATE CANDIDATES NOTE: IF ACONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LISTOF IDNUMBERS IS AVAILABLE FROMTHE 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 10 NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (ffappicable) RAISER
NUMBER INCOME
ID# M i c6Qe ) X, F1 e»n i rA9
CK# 9 31 7+Lt S 4-, IN F-
61 A 512-419
ID#
l- ra rf`Cef-i s .5~-eX" l er
41 -7107- Gr
50 .ev 0
ID # l41fq
i n ~. A- 5
STATECANDIDATES NOTE: IF ACONTRIBUTION IS RECEIVED FROM ASTATE PAC (POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
NUMBER ANDTHE Plc CHECKNUMBER IN THE DESIGNATED COLUMN. A USTOF ID NUMBERS IS AVAILABLEFROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 68B.32A(6), lovm Code, prohibits the use of information copied from reports and statements for soliciting contriburions or
forany commercial purpose by any person other than statutory political committees.
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT ,I IF FOR
RECEIVED (d applicable) TO CANDIDATE' RECEIVED FUND-
(MNIDD/YR) AND PACCHECK (Ifapplicable) RAISER
NUMBER INCOME
_
(D# airy J ~t " e
4- Cj*er-jv-
,200,a
a7owo, Ci - EN
ID#
5 cri-,.u ve r
*9/o a CK# ~ F:-, . 7f-A s+, .25,00
0
5,
ID#
G C tvnn Damma.n
-<112-- 9/v 2- CK# ~o , o 0
ID#
S'i'eN'I
4/5-/c) Z-
e'rW ii
CK#
CK#
CK#
ID#
CK#
CK#
SU&TOTAL
esqLures candidate committees to disclose the refatmon8111pof anyrelative making a contrbution to the
032-
committee. Relationship must be shown to theOft degree of consanguinity (blood relatives) and affinity (relatives by
marriage)
of (See Paige 2 of forms peciot .) . If surname of contributor is the same as candidate, but there is no page -2-
forruiial relationship, enter "not applicable' In the relationship column . (for Schedule A)
SCHEDULE
FOR INSTRUCTIONS, SEE BACK OF FORM
B MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. 09/97) EXPENDITURES
STATE PAC C0111111RTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE UCHECK 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.
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 experxfit<re made by the persordentity on behalf of the candidate's committee . (Refer to
Schedule G Instructions a nd Iowa Code 56 .6(3x1).)
Page-j of
Schedule
(for B)