1P1/06/2005 09 :39 641-853-2216 OLSEN ACCT .

PAGE 02

FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2004) REPORT

for Of Ice Uee Only

.Srn-LFy OL1~~ f4Npvi..- 4po
Comm . s
IMPORTANT : Indicate by * type of committee you are reporting for: Logged In
( 1 )Slalewide/LegielativeiJudge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 3 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Political
Subdivision Candidate ( $ )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC Computer
I ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
fT 4- 4 . F Y o
Office Sought District (if Senate or House)
QeL^o ..d . frL..E.4~E fGrr c. Bs..r~rD
T
Gi f - u
2005
Late reports are subject to possible civil and criminal penalties .

Y-1-kS' 3 . s z/d
SIGNA URE GIr-PERSON FILING REPORT TELEPHONE DATE SIGNED

I AM FILING A /o - 6 ^ 0 f~ REPORT FOR (1) ELECTION i(2)NON-ELECTION YEAR .

(report date) Indicate by if

Local Committees, enter Date of Election

OCHECK IF AMENDMENT TO REPORT DATED
Y'-/)-aj
® Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed .)
i.w.f r 6- NT

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee This amount MUST be the same as the cash on hand at the end
of the last reporting period or must be zero if this is first report filed ) . . . . . . . . ., . ., . . . . . . . . . . . . .  , .  . . . . . . . . $ " 4 ^'
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) . . . . . . . . . . . . . . . . ., . . . . . . . ., . .  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
o
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . ., . . .. . . . .. . . . .. . .. .. .. . .. .. .. .. . .
(Schedule H applies to Candidates' Committees Only l
SUB-TOTAL . . . . . . . . . . . . . $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule 8) ("'also see debts and loans below) . . .. .. . .

Schedule F'. Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . .. . . .. . . .. . .. .. . . . .. . . . .. . .. . . . .. .

CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach OR-3) .. ... ., ., . . .... .. . ., . . . . . . . .. . . . . . . . . . .. . . . . .. . . . .. . . . . . .. . . . . . .. . . . . . . . . .. . .. .. .. . . .... . , ., . ., . . . . . .. . . . $

`"UNPAID BILLS (From Schedule D -Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . ._ . . . . . . . . . . . . . , . , . . ., . . . . . . . . . . . . . . . . . $

-IN KIND CONTRIBUTIONS (From Schedule E -Attach Schedule E) . . . . . . .'` . .~'~
. . . . . . . . .1 ,. .~ . '., . .~ . . . . .
"'OUTSTANDING LOANS (From Schedule F -Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
CONSULTANT BREAKDOWN (Schedule G Attached?) - YES ,y NO
CANDIDATE COMMITTEES ONLY .
--,0 `.'
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H) S

STATE CQMMITTEE$ ; SubmK a reconciled campaign account bank statement in January of each year .
 09 :39 641-853-2216 OLSEN ACCT . PAGE 04
10/06/2005

I
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN KIND
COMMITTEE NAME (Must be same as on Statement of Organization) Rev. 06197) CONTRIBUTIONS

.STl -LEY o&sdi .

;r,/lo'-,1 'ee'lif0
O CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MMIDDIYR OF CONTRIBUTOR ' If applicable) CONTRIBUTION VALUE CONTRIBUTION
(,., .JAr c' * $

a v
-or f r-ir r L. C y UL 6 ~/ Sic G A D 6
b^l6 ti O .J9
^ h6Pc, .-00-7 v
- . . , . ,,

PT
S1+" RvrGES - I y j `l~
$ , z9 dr

/o-1k10(-

gear 0 ,- 9
l',-DL ~o- 65 Gr
FA P G ~'K
L/ J? .f
od
1t ~~ O
9-°Z 7

SUB-TOTAL

TOTAL (If last

page of this
schedule)

'Disclosure law requires candidates to disdose the relationship of any relative making an in kind contribution to the Page Ir of I
committee Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage) . (See Page 2 of forms packet .) If surname of contributor Is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .