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lowaEthicsandCampaign
,.lI
DisclosureBoard
510E. 12h,Ste.1A E7
l 1 1t r T ! l l f l $ F,ilI
DesMoines,lowa50319 FOR /NSTRUCT'ONS,SEEBACK OF FORM -li!l-tl
Fax:,51*2814073 .. i , | ! *

SUMMARYPAGE
DISCLOSURE
L' ll

COMMITTEElrlAME (Musf be sameas on Statementof Organization) 2889

Hf{Y?8
CUt r&n'i"l>katD*a+rJN-*'o{ 6r^vrvZ,yot- ;"f;:, I o,,..o,,*,
IMPORTANT:Indlcateby # type of commtfteeyou are reporllngfor: (Rev.07/2004|
( 1 )Statewide/Legisladve/JudgeStandlng for Relentlon Candidate ( 2 )State PAC ( 3 )State Party
neponr
(4 )CountyCentmlCommittee( 5 )CountyCandidate (6 )Clty Candidate ( 7 )SchoolBoardorOther Politlcal
SubdlvisionCandidate ( I )CountyPAC ( I )City PAC ( 10 )SchoolBoardor Olher PolitlcalSubdlvlslonPAC
11 ) Local Ballot lssue

District(if Senateor House)

Latereportsare subjectto possiblecivilandcriminalpenalties.Pursuantto lowaCodesecllons688.324(7)and684.401(3),the candidate, for a

candidate'gcoqmittee,andthqchairperson, for anyothertypeof committee,is the individualresponsible
for filingtimelyandaccuratereports.

' L q - 3 c t-{5 e L 1 ;- zL- 01

TELEPHONE DATESIGNED

.LOO1
IAMFTLING
o hlA*I 7E , FoR(1)ELEcTIoN
REPoRT (2)NoN.ELEcTIoN
YEAR.
(report date) Indicateby #
ECHECK IF AMENDMENT TO REPORT DATED LocalCommittees,enter Daie of Electlon

'{Cn""nif this is final (termination)reportand attachNoticeof DissolutionForm DR-3. County& LocalCommittees,

enterCountyIn
(You must continueto file reportsuntil a DR-3is filed.) whlchElectonIs held

STATEMENTOF CASH ON HAND */

CASH ON HAND at the beginningof the reportingperiod. (Totalof all funds held by the
hm0\@
L,**r{_ ft?
committee.This amountMUST be the same as the cash on handat the end ti--' :
of the tast reportingperiodor must be zero if this is first reportfil"d; .::-.-::-. . . ..S{r-..4.q.q$
ADD TOTAL MONEYTAKEN IN THIS PERIOD
ScheduleA: GashContributionstotal (AttachScheduleA) ('also see in-kindbelow)
ScheduleF: LoansReceivedtotal(AftachScheduleF) ..................
ScheduleH: TotalSalesof CampaignProperty(AttachScheduleH)..................
(Schedule H aoolles to Candldates'Gommlttees Onlvl
suB-ToTAL
............
$
SUBTRACTTOTAL MONEYSPENTTHIS PERIOD
ScheduleB: Expenditurestotal (AttachScheduleB) (*also see debts and loans below)...........
total(AttachScheduleD..................
ScheduleF: LoanRepayments
CASHON FIANDat the end of this reportingperiod(if finalreportbalancemustbe zero)..........................
$
*UNPAID BILLS (FromScheduleD - AttachScheduleD).................. ...........$
*lN KINDCONTRIBUTIONS
(FromScheduleE - AttachSchedule
E) ................. ................
$
*OUTSTANDING F - AttachSchedule
LOANS(FromSchedule F).................. ...................
$
CONSULTANTBREAKDOWN(ScheduleG Attached?) _YES _ NO
CANDIDATEGOMMITTEESONLY:
VALUE OF CAMPAIGNPROPERTY(FromScheduleH -Attach ScheduleH) $
STATE COMMITTEES:Submita reconciledcampaignaccountbank statementin Januaryof each year.
 FOR'NSTRUCI/ONS,SEEBACKOF FORM SCHEDULE
I
EXPENDITURES B I ro*rro*,
(Rev.07/03)| EXPENDITURES
STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONSMADETO STATEWDEOR LEGIST.ATIVE
CANDIDATES,LISTTHE CANDIDATE]DENTIFICATION
NUMBERIN THE DESIGNATEDCOLUMNAND THE
PAC CHECKNUMBERFOR EACHEXPENDITURE,A LISTOF ID NUMBERSIS AVAII.ABLEFROMTHE IOWA
n cHecrrHlsBoxtF
AMENDING
FORM
ETHICS& CAMPAIGNDISCLOSUREBOARD.

COMMITTE,E
NAME(Mustbe sameas on Statement
of Organization)

krtnr l/apids,N-eo(^.l,anlp.r"o( Lurvtyn'er c-a--

CANDTDATE NAMEANDADDRESS TOWHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCR|BE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disburseme nt)WAS MADE
(MtwDD/YR) AND PAC
CHECK
NUMBER
tD# lo+e?lw L U:cJtt'ron >WW/*- ?lawL fcr
b - 2 1 f l 1 ct<# ?o r5o
v ltzz- eLechana{ r*,e,n\ o a-t

L7q3 \ kd;; ?z"i',r kszt{o{ +tPf'/ rsrlrS

^
$ J
4 - ^A
Utttt.

tD#
VD+€Plm Z Caalihon SL.-ppo(+{'nn Z- bf e9,-
1,tn"D1
ct<#2Alp LO t)o €"f Ar,t:z- ?\ai)--ct.. of cor"crr\ 3,ao9,
IA Sz-'fo*
f e,,),ou-Ra-.t>r.L> ,PWy'V\tatt
lD# ->
**p'p*- Qta-'a fur
g-q41 crc VoIe?lyn LLo.L^-}-"n ASa-*-*t^,
aq161 I?-*,Y,:&3,astrAs,-r1c,( t c-o*t-t{.{ 1+1,'"'
*t-r-rv 'rv'u(-c; r->
tD#
LoaLJ*n 9u-ppo* ?lFnZ frr
il4s-a1c1<# ioYa2tru^Z €Lech.an ,{ ur"n\ 175,u?
futtb s-z-,{o*
T"k'l-hi,fi*: FA *u-nO;O lSt}v15
rD#
ct(H
lD#

cl(#

tD#

cK#

tD#

ct(#
SUB-TOTAL $
TOTALltf lastpage of thls schedule) $ u 5q+:e
THIS BOX APPLIESTO CANDIDATES'COMMITTEESONLY:

Purchasesof cefiaincampaignpropertycosting$500or moremustalsobe inventoried

on ScheduleH. (Referio ScheduleH instructions.)

to persons/entitles
Expenditures providingconsulting,
advefttsing, polling,managlng,organizlng
fund-raising, servlcesmuslalsobe detailitemizedon
ScheduleG by the amount,purpose,anddateof eachtypeof expendituremadeby the person/entityon behalfof the candidaie'scommittee.(Referto
and lowaCode
ScheduleG instruciions

(forScheduleB)