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03 :' _2/ _7 a C3 0'3 :45 533355e513 IDES -rdEF MC(31I%,!

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FOR INSTRUCTIONS, SEE BACK OF FORM FORM


DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
(Rev . 1212005) REPORT
COMMITTEE NAME (Must be some as on Statement of OrganIzation)
For Oftlce use Only
Corn m .B - _-
Logged In -
Ib1PORTANT Indicate by 0 type of committee you are reporting tor.
( 1 )Slalowde/LegI3IatIve/Judge Standing for Retention Candidate ( Z )Slate PAC ( 3 )Stale Party Scanned
( a )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or diner Political Computer
Subdivision Candidate ( B )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC
~. I 1 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name

5o , ~ .1A~`QC(
31(o lio 1,

vent to Iowa Code section 68B .32A(7) the candidate, for a candidate's rcommlltae .
Individual resporteible for filing timely and accurate reports .

TELEPHONE DATE SIGNED

1 AM FILING A ~ .. li,oS " REPORT FOR (1) ELECTION I(2)NON-ELECTION YEAR .


(report date) Indicate by #

Local Committees . enter Date of Election


C3 CHECK IF AMENDMENT TO REPORT DATED

0 Check If this is final (tsrmlnatlon) 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 fled.)

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 .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ (, q S8 2 ~ou
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) . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . ., -0 ._

Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -o =


(Schedule H applies to Candidates' CotrMltiees Onlvl
SUB-TOTAL . . ... . . . . . . ..S -
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . . . . . . . . . . ~R 7~//(J n
Schedule F Loan Repayments total (Attach Schedule F) ., . . .  . . . . . . . . . . . . . . . . . .  . . .  . .  .  . ., . . . .  , . .  , .,
CASH ON HAND at the end of this reporting period (it final report balance must O
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .$

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


'IN KIND CONTRIBUTIONS (From Schedule E- Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
- OUTSTANDING LOANS (From Schedule F -Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . .  . .  . .  .  . . . . .  .  $
CONSULTANT BREAKDOWN (Schedule G Attached?) -,.,YES , NO
CANDIDA TECOMMITTEES ONLY :
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H)
S~j~{TE COMMITTEES:, Submit a reconciled campaign account bank statement In January of each year .
f33"12/''2113i0'S 13'3 :45 5533559519 F :OESTHER MCGI'v'ERH &. PAGE 0 0,

;)ny~eun :avlniwa I
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. 07/03) EXPENDITURES

STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE


CANDIDATES, LIST THE CANDIDATE IDE'4TIFICATION NLFABER IN THE DESIGNATED COLUMN AND THE D CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE SOARD.

COMMITTEE NAME (Must be same as on Statement of Organization)

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (It applicable) (Dsbumemant) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
I0# Vi L~ I`1J~'Cty.~ C~Io~c~S
S2oa CA-
CK#
S9 2 ZR _ ~!) v e" o ~j L N S Zk):Z
ID# a,- ;
CK# q5D 0
~Avek. , ( ~ .Sj"~~a
10# '

CK#

ID#

CK#

(of*

CK#

ID#

C K#

loot

CK#

W
ID#

CK#

I ,u
SUB-TOTAL

TOTAL (if last page of this schedula)


I s6 l~~
THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing 5500 or more must also be Inventoried on Schedule H, (Refer to Schedule H instructions .)

Expenditures to personsfentltles providing oonsultrng, adverfslng, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpo_ and date of each type of exvenditure made by the person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions an d Iowa Code 68A.402(3)(1) .)

(for Schedule 8)

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