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I
FORM
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
(Rev . 0712004) REPCRT
COMMITTEE NAME (Must be same as on Statement of Organization)
J4
Office Sought District ()f Senate or Ho
CASH ON HAND at the beginning of the reporting period . (Total of all funds held oy 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 )f this is first repon filed.) . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 5
SUB-TOTAL . . . . . . . . . . . . .. . . $ 3 R " O
Schedule B: Expendltures total (Attach Schedule 6) (-- also see debts and loans below) . .. . . . . . . . . 3 (D 2 y - d Q
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 DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . S _
N DC --C6 r L 0 S-r
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ?CTION COMMITTEE) . LIST THE PAC ICcb!T FICGTION
NOVaI THE PAC CHECK NUMBER IN THE DESIGNATED COLUrAN A LIST OF iD NUMEERS IS AVAILA6'_E FRCM THE IOVIA E71-135 AND Ckr; :AICN
DISCLOSURE BOARD .
CAUTION : Sectior 686.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting ccntrihufons or
for any commercial purpose by any person other than statutory political committees .
DATE PAC ID NUMBER NAME AND ADDRESS Ot CONTRIBUTOR RELATICNSHIP AMOUNT IF FOR
RECEIVED (ifapplicable) TO CANDIDATE` RECEIVED FUND .
(IMMIDD/YR) AND PAC CHECK (if applicable) RAISER
,
NUMBER INCOME
C K#
- ~ .
ID#_
C K#
ID#
C K#
ID#
C K#
ID#
C K#
C K#
1D#
C K~ 4
I DA
C K#
ID#
C K#
SUB-TOTAL
' Ci ;clc ure law requlres candidate commttecs to dlsclcse the relationshlo of any relative maKira a contribution to the
c,omrniLlec . Rclatlonshlp njust be shown to the third degree of cpnsenguinity (blood relatives) and of nity (relativas by
marrlare) If surname of contributor is the same as candidate. but there is no Pane of
familial relationship, enter "not applicable" in the relationship column . tfar t :hedule A)
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT
(Rev . CT/03) I EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS rnt4CE TO STATEWIDE OR. LPGISLATIVE
C:+.fJJIDATcS . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THc CHECK THIS BOX IF
PAC CHECK NUMSc-R FOR EACH EY.PENDITURE . A LIST OF ID NUMBERS IS AVAILABLE PRCM THE IOWA AMENDING FORM
ETHICS & CAMRAICN DISCLOSURE 2OARD.
LOSS'
N DG -Co y-
I
CANDIDATE NAME AND ADDRESS" TO W=~O -_- PURPOS= N.iMCUNT
GATE 10 NUTUIBER EXPENDITURE (DESCRIBE TP-4NSACTiON) cX°ENDED
EXPENDED (If applicable) (0lsbursemenf) WA5 MADE
11
(IM, [1 1 . E D/YR) AND PAC
CHECK
_ NUMBER
ID#
Mew+o~. Oa,;1 ., f~ews ,,~,
Nlecuf Pfir,fiv,2 CO. tspv,isPaper A&~CA41"
r(o CK#
Z00 Ave P.O .9fo7 ~,g04. 32
2ob(e N n
ID# fD0V^ ; NOS PIzzA
Maw
r
:2-7
V (00 (0 1sT
Ave t.-
_
f~ Z7.~ rO2 ~u1oruers
-:0-17
I
CK#
I zoo ('0 N_ br, - SD Zo e N'10~i " ,J
o fiArolert
, 4 6S
i D# So L"k
I M a rtL.
I
'11 iI S 5 Zhd Au~
CK# 00
qo.
2o e (a N2U~-'r-~ _ ~7~
ID#
C KA I
I
-
I D#
CK#
CK#
CK#
SUB-TOTAL $
Durchascs of certain campaign property costing $500 or more must also to inventoried on Schedule H . (Refer to Schedule H in ;:tructions )
x?enditures io personslentibea prcvidinc consulting, advertlsina, tund-raking, polling managing . organizing services mus" also be detail cernized on
Schedule G by the amount, purpose, and date of each type of expenditure rnadG by tho per,"lentiry on Llel - alf cf the cand date's cor, inirtee !Refer Ic
Schedule G instructions and Iowa Ccde 68A.402(3)(i) .)
(for Schedule 6)
F-1
F-]
~
F-1
I
a
SUBTOTAL 15
0
TOTAL (If last
page of this
03 .~0
schedule)
- Disclosure law requires candidates to disclose the relationship cf any relafve making an m kind contribution to the Page I - of I
committee . Relationship must be shown to the third degree of Consanguinity (blcod relative;; and affinity (relafw;s (for Schedule E)
by marriage). (See Page 2 of forms packet .) If surname of oontributor is the same as canaidate, but there Is ne
tamlllal relationship, enter "not applicable" in the relationship column .