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FOR IAISFRUCTIONS.

SEE BACK OFF,' 'I FORM


DISCLOSURE SUMMARY PAGE DISCLOSURE
C~7110772= NAME fiVust be same as on Statement of Organization) (Rev . 01/2001)1 REPORT
TEftin-)F_d -F:612 STyfT67 S ~(1 CAM M I %Z-EE For Offic-- Use Oniv

IMPORTANT: Indicate type of committee you are reporting for: Comm . # LVT
Indexed Sid
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC (3 )State Party (4 )County/Local Candidate Audited 9^10 - -"
{ 5 lCounty PAC (o )Ballot IssueiFranchise Committee (7 )CountyiCtty Central Committee
I, ( 8 )Support Slate of Candidates Computer GL__ JT---
CANDIDATE COMMITTEES ONLY:
Candidate Name Political Party
1i e k ~- . IEfl-R-1~- GN li-E-MO 1647-1(?-
Office Sought (if
District Senate or House)
SI-hIE 5E~A I T-
::5 SicN!?TIE JAN 1 7 2002
N
/
plc - 1OZ-Z . . /7 - aQo2,
SIGN.A'NRE OF TREASURER (or per an filing this report) TELEPHONE DATE SIGNED

Routine Penalties Due For Late Files! Reports Range from $20 to $800
SEE INSTRUCTI®NS ON SACK AND COMPLETE THE FOLLOWING SENTENCE :
I AM FILING A E LC / l - 19- o REPORT FOR ANIA ('l) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one
E]CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

El Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
(You must continue to file reports until a Notice of Dissolution is filed.) which Election is held

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period . (This is the total of all monies 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.) .... ............................$ r 3S_ / . 97 v--
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) ......... 57,5-9S,Oa
Schedule F: Loans Received total (Attach Schedule F) .................................. .. ...................
Schedule H: Total Sales of Campaign Property (Attach Schedule H) ........... . ..................... .
..
(ScheduleHaDollestoCandidates' Committees Onlv1
SUB-TOTAL.....$ 0 87
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) .. . i 0G L, 1a
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) ................... .................................. ...... .... ............... ..................... ...... .$ 9 8y . 97
**UNPAID BILLS (From Schedule D - Attach Schedule D) ........... .. ..................... .. ..... ... .. .. ......... ..... ..$
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ........... .... .. ......... ..... .. ..............$ a,a
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ............... ............. .......................$
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
For Instructions, Sea Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 0&97) I RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

_DE6"t4
S -'C-6 Q EN IYTE e_a mA& ,7T t= E

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 688 .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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
AND PAC CHECK (it applicable) RAISER
NUMBER INCOME
ID# +.1 - J(ROMftS ~ki'~EtQSad s?'
(o sSo (± etj'te12 $ 00
CK#
IVO I TD, k . ~ 0-!6 -toil

I- 3 }I CK#
CA~~+
-

ID# ~
_coo
le C
5 ~~O iI4£S ~~ ~ d L, 7D !l.
ID#
L>q f,2 RU S7 A Al Teti
SSl2 1),q K, T,Q
CK#
C S f-F L~l fit - _ T y+ 8-n 2 6- C
ID# , to 1 /KeTo2 61ARR'cPS (Pt -0)
00
-- 3_,~CeI CK# ~v . AX 6 12.1 E, ~, /h , ST'IV,

~41
E .S Dr AJ S ' 'T So 3o
ID#
oIn 3 ~,4- 7iaTo4i, ASSa1;. (Ale)
STE-33s 00
n -3~ ,20o r CK# A~
9 Me, IWIES °°
Dt5 :T_ > J- s-03o,_~3~9
lo#
M A - TT -F .S i` LI i F---/C 49 (!OY
4-cP-t?A X11 ~C
~+3~I E:
CK#
C5 Ale; iiVe S _-T f4 -e3za- ~~5/
iD# ~3_6 f-P A- TH-A A; ~_' , L S o dl
~_
CK# W el ~ r-kL I- a,C'
~~ r 3-~ ~S- lc~ o
D ht Sri~-
ID# Nno &)
>fV c°
CK# T
ID#
(7 A- v , ~c
. .p ~ CK# cJ) ?, T A-' FL Y'tlA' 2)N G' D
LAJ Ke ti' Sf1- 4~1= a 2 I
SUB-TOTAL

TOTAL (if last page of this


schedule)
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter 'not applicable' in the relationship column . (for Schedule A)
. For' Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)

O CHECK THIS BOX IF


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

f)cf}12~)E11/ t'0 I2 ST4Te SEA) jC ~OlGCN1 iT jc~

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 688.32A(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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
GRcG :3'vi-~ E LC- 01 S

~~ ,n J CK# /~ I o
3 3Pc 5 ~~D/NcS ff 17
ID#

CK# / 7 e5+
~O
--r /fi So3zz
ID#

CK# G,,; 7 / /t' V-:


b M s r 3
ID*
~ 0 33 ~n, e nc+
/t^ v $ cr /~y 5 .r_
CK# -7 / 7 1_

17,1 3 D 1(
-TA-
ID# SC .S A ti' e L. Oq

c r=`Is~ l~ t~r(~
4- 0 2F

/rid C. C'C~

CK#
/
7C r~ /ft
ID# C,gl~LaS :?4ywC ~

M .a- 9-1"
ID# ~hl r Lf1 ti E C- s. r. 07
lhr I'd 0 CEE It) V-1 o n r~ s t on
l 7- CK#
A-k-Krtit v s ,9- ~_o 0 .2
ID# /)'I c L I S S 4 L~-I rt T S o >L1
~ K" 3 ._ 3 a ~~~ St ors
CK#
7- r,
ID# S2I -rfi
.) U t- r c 0
1-4,~~e :eCsT f' 1
CK# aZg~ 3g 17
~-/7-i) ~/bi , :Z~_ tf :i- C 7~ /O-~/33~ c-D
ID* /,
,T y/1 c S ` ~J ft N' E_r rT E
/e- -L / ~_Z ae
- 3 `-
CK# j
y- l 7 -e l L_ Z-a 1, S
SUB-TOTAL

TOTAL (if last page of this


schedule)
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the thud degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If sumame of contributor is the same as candidate, but there is no Page of
familial relationship . enter "not applicable" m the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 0&97) RECEIPTS
(Including candidale's penonal lands)
0 CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement ofOrganization) AMENDING FORM

e r'i >e S
a' Fe "-' S TOY 7'c- EA 4T,E (20 oera .G1 i TTGL=
STATE CANDIDATES NOTE . IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A UST OF 10 NUMBERS IS AVAILABLE FROM THE 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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ~~ 1f M t S c~ d f} lL'lfiC ~lleti'Crn
Y-0 :0.5t -
$ C) n
CK#

ID# ~ r (±nHEL ~L--G4-C~

~2oZ. CL , v i:~ Zij Z-c32 s /ao


ID*
~ V~ ran
CK# , Va/ : i_ fl-

l7-D! 3730 b Al~ y4 ~a3za- ;2(- /v"°

1D# 1 h? o~ ~ u ~l /~l ft ~? K N Tt R S Q f
r7 ._ 00
CK# .tea _!~ "t S,r --
1 3 0
jU L S~, 2N rn l° 0
7-O I V~_I M i~-
ID# C tii h A V I L it ND _
(¢ 7 S_ I' S' C /-fv o L ~ y-- L srZ
CK#
/K 3
ID# :yAl _T /Ii- (! c-/U TS :7 A
(P -Ail C, C)
CK# ° V- S T o W A %<r S Tr .2 _ c
/od
ID# 0C . C_E1V"ERMt, C°o1V7yQAeT0IQ
-PAC .---
CK#
~ $ o _S ~ o a o A 7 -7 4_6
-l 7-ct ! -~ ~- n 30 3
ID# A . PC .
~b~ r( o0
~',L)
CK# a e 1, 3 1 4
-l 7-v/ S-0 26 S ~
ID*
co
CK# /eo i ~ ~slti~ r( ~'
7- o I 3Kc u 2&, S- lee
1) /Ir1 q-
ID* (e o a l r _
cwt h i- LP ti /o A! -7) ote --
CK# 19, 34
4
SUB-TOTAL

TOTAL (if last page of this


schedule)
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contirbution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate . but there is no Page "5 of/3
familial relationship . enter "not applicable" in the relationship column . (for Schedule A)
For' Instructions, Sea Back of Forty SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev . 0&97) RECEIPTS
(Including candidate's personal hinda)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

rrk I~ciL' Fo le- .5 Tt} TE ~'Sc !l% /f TE


(~o hi AA , -TT C ~'
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE 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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D# w/l OFF SctilE ClOU~~'EiL (c/
CK# .413 )-°
y< gl
ACS A(a ,it, "~5
ID# FRE/L/Nt3 E~
/I1 I01 if /?6L
CK# C~S :rf o~003 144~-r56 oa
..-
n1 -37 so 3 io °
ID* KENT
o Soe)T4z-AwN to 00
1 CK# L
!~S
laI S
aa'
ID# Lf L. 1 F F O /1 b /P 00 itJ E y
lao(a l---0/27'ER
.xi-Cf CK# Lo
9. prS M
A tit S1(-- S" %d .
ID# ZT-c CRoo/'C
~ . '?-Afdl1'TeAJ 6V
0o
CK# (i,~-Sff /1 -7
AL 4 03 r S'
ID#
3oHN
q,~ ,Jl cK#
~4s/+
/3/o sw i3l20 .4 .L~ ~~--
DM 14 60 ) /S
ID# PPVU t_4 C AMPDC Mkk r1ticL
cK# Po 80A qSF7 °°_
f C A- S H ~- &1 1- l S 4. E' T-R- S'a o 1~ 7 aS-
ID# NNl~ (30 ¬ ScN
~) o rv C-T- do
CK# C ,4 s fl- 3~i "
g-2 -o1 So3f7 010
ID# Lo2r H0Nr
#l c-L o_o
CK# C S'I 9 U N r U E9 S 17
( S f)
Z-0 -3
ID#
0-*
,o( CK#C&SN
~A- ~Q3/d
SUB-TOTAL

TOTAL (if last page of this


schedule)
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marnage) (See Page 2 of forms packet.). If surname of contributor is the same as candidate, but there is no Page of I
familial relationship. enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, Sea Back of Four SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev . 0&97) RECEIPTS
(Including candidate's personal hinds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

U ,5'+412bE-A/ POP- 91767c` S eA)4 Tr-- 0cAtit r TTtb


STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POUTICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 688.32A(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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MWDDNR) AND PAC CHECK (it applicable) RAISER
NUMBER INCOME
ID# Fa R13 2d Q
S'/6 S ilU 7~
CK# $ 10
LO
/~5
D /K ~ 1+ Sa3 I
O
ID# T) -4 iJ /*C f2 UNk
oa
CK#
1^ ~F S f1' Id
ID# E
L I 0- I2>tSMUSS

S_e3i7
ID# Ro,i d ARZo c l
CK # C~s - .09 Ca a v
9- ~-0(

ID# ' /F 44 C-S S . C o U .W 1 c


/ ~t - ~7t_7 sc eo
CK#
~'o3rz lobo
ID# ('_ ewseRVATloN t3oAR

CK# s T'rttosir i4eeoN 7'


P~t~
R
p~ I2cT R A ao
SS-g'/ J,?S R
mar¢ °to
ID# j> PE L
STACI W13auR fl-
va
CK# / 3 0 /o g -,!? _ i $o f-Z htl
hC1KWoI2-f N.. - ---ri4 5_eoo j
ID# ~
rol 39 LoC*L 3ia tIN<<-D STfE- LWe ktRs
4DW-Ify
CK# aU70 eo pe- h _(!ou Nr-. laSNKI it Q oB
- s,f -~a 13
ID# AJc b "+- Mit2 LI/A) C4ro 1o
4scL.s a.12 Go
CK# o?913 SnuTwrC'nzw
g~23 . or 3~eZ 'bM _r/+- S-a3z( Zo
ID* Mit,tlu Fit Q7U/2rD F'FaUS/Nds (P+4 C
Of (e
CK# ! /rfc~o 7_~e+tp Av ad
C!-~.~-vI oleo
D 11 -"r) 4 Z-G3t6-393 K
SUB-TOTAL a~
$ D
TOTAL (if lastpage of this
schedule) 1$
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contebtdion to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.). It surname of contributor is the same as candidate, but there is no Page of
familial relationship . enter "not applicable" in the relationship column. (for Schedule A)
Fot+ Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 0&97) RECEIPTS
(Including candidate's personal hxWe)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION : Section 688.32A(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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

a 1T" 7- P- OU s /I rP FOou
GD
a oo
CK# .2 e a a W A - J-< s T- -
3 _0 1 ~' 1 3 a
1/

ID# /0/)- r f.'e H, PE/ c. s c Al


84 20 -r/rLrFF / 5 r- 0-A o0
CK#
y-~3-of o~ 7f'I L, R S VC d AS - Nsvjb4- 8~rt9 ~So
ID# ~. aN v r213 ~l,v
In
fco s 7-E 2 D 2 os
CK# ~, oo
C1- 3-v1 bM .~ A- 5'0 3lz toD
ID#
$'?EVAN Pe r2 S e) ti
4.. Nu r 57" UN 7 ~~' GO
CK# Z .30o W
~M I A- 5 030 9 /DO
ID# R>4N D y 13 & u e2
00
CK# sq Nb Cr2 D~
7' -G l loo ~lv D M l` .~fl- 50 z Z //1D 1/
ID# fFEldDchSoN
ij'OM
o o .D
g CK# ~o g- 9 itl . Wf Al w
~DD
y~o~7°G ~ l~~ ~ 3d~lUSTO/(/ ~~- ~o f~l
ID# ~,( Lr f Sa uk .4 A A t?.
/ 7-0f st STE 36 e0 DO
f CK# 707 -
-d /l I `~=AJVEQ 0-o 9 0,-262- -343,9 ~d4
ID# /V,4 1- kV~7 2-
~ 4s~o .,
OD
DK# ye s- ~ u sr
f=~ ~-vl ~l S 7G D II: y Q- so 3o y'
ID#
3o r+ ti -t-- 2/+d e ,~A Ll r20
_ 3o~fsTft~uTaw V ff0
CK# v
400'
_b I& ~A- So321
ID# ,K,ep4A-_i_ 9~- -Deao -rfr y l`t,4vle6
CK# r{- 3 LS-- S W 3 1 Sts °.
I- d`1 -U ( 5~fS` S-a 3 z f /O 0
D At.
SUB-TOTAL

TOTAL (if lastpage of this


schedule)
' Disclosure !aw requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marnage) (See Page 2 of forms packet.). If surname of contributor is the same as candidate, but there is no Page 60 of
familial relationship . enter 'not applicable' in the relationship column . (for Schedule A)
For Instructions, See Back of Forr SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev . 06/97) RECEIPTS
(Including candidate's personal turds)

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


O CHECK THIS BOX IF
AMENDING FORM

Dt ~t-12 ~~N 1=of'2 S Tf` rE SC At AT6- L'o .a-^ I TTe6'

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 688 .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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# &4-
0 ~- 1~v a* L W r4TE 5 7ifT=
pit(I eoM
CK#
// 73 y 2 zi s.a2 NDT ,~v
A

. $ oa V
-r 0,V
";E- tQ
ID# ~-~ ,4- C oNw ~ l2
~fFM
awls-
!7M ~~ ~o3r 7 ,og39 O
ID# f}. U L c E I-- r I S A1 I4 A)
a88d pn N D ft-U . -7-4166
CK# j i y- 9
DM _-T-- A- .g- °3/Z c° °

ID# -3-o >`I e A LL t= y


v0
5-

ID# _3_rfMts
5-N~s .~ 6_a
CK# 7 (ZS S 8
9 81 RU A,) S w ~3 7
ID# 3o 5EAf+ "F RUTH L/F~{=f2S
od
3 /f~ 5,0A&M IT'D'/STA- De r%
CK#
( 367to e-- ,g 1.
ID#
~tl-Tat?r~ ~ ~ A3 4Pf3 i4 A74 I(A~ I! L! NT-0 /~
DO
CK# 4 (0 6 4 - f s st
7 cf d Zr4 :5' o'4 / z-?,7q7 0
ID#
GAY err s 6-;~j od
s 7-
cK#
6, g~i X 13 w c :7 ~ 5,01
91a-af * N l~ _-'r' A-
ID# U Z I E Fc.~t NNc icy
76 H AJ
o® /
CK# x-7 / o A - a s-t S'`
99 w 2t~ t~0
ID*
00
V (TRus7e)
CK# ~~ /~-~ 2 'W I S eo,clSrltl ~
~!3 ~p
Mt S ~ ~F Soo i '-f
SUB-TOTAL

TOTAL (if last page of this


schedule)
' Disclosure !aw requires candidate committees to disclose the relationship of any relative making a contrtwtion to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See
of Page 2 of forms packet .). If surname of contributor is the same as candidate, but there is no Page -
familial relationship . enter "not applicable" in the relationship column . (for Schedule A)
For, instructions, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

E!~ K t7c 7To P- S -rA T E- SZit/ * T E- o Ifs. d1 i 7 - T 6

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF IO NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 688 .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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# G,~aNikt2D ?iNKa rP, At E-* 7-,r ti
CK# 3 ° lo y o ek sl-- o° Y
of ~-S /
ID# Ie U Q F ~l- 8E7-7y /3 dirt - H U N TFA
o0
~f5'A w f r_41cP,s iI/ z
AA,
ID#

CK# SJo -- 3k'A


g~ ~~ O
ID# ~J o SA LEE 0' RE EAJ---
~I/K 00

DM
ID# 1Q t N E-
/4Z, AJ E Lh
CK# 3 a. 3 E. P0- -11--
`!
0 ~ q~a M y o3 r7
ID# ;~yvi_f
CK# la at, _ E, y ta s~. v
Afi sd3/d_.29 /o
ID#
(2 RA / d w Ayt- EYee
U I cw A2
CK# / LOL to Z. LA- /~ 16

ID# iA
M ftkf Lytir
. O 0 I 'b A t/ 60
CK# E
~87~
I-~3-o I
G zFr S-43 /7
ID# /k e o D Y
/~a SEM ~ l2 ~/

ID# E6 k Io E` v- -379 Y e E- Pot 1.-c TT-4 00


EF~lS *it) 31 -5-' Sf
CK#
. "17A- S41) 3 2 /
SUB-TOTAL

TOTAL (if last page of this


schedule)
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contrbuuton to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page g of 1?
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candldele's personal tunde)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Dc } (1 Dc N To /2. S~TI`FT>= ~5 ENh?~ 0.,11,0, al IT7- EE


STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE 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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ~ . e+~~tr'r r4UDN~-L~
c . H 0 L-4- $
do
CK# T A- X03 17
_
D Irk
ID# 'd
c lp A- 1- D ~ /^(,F rff I-EE u O vc i2AlF
DD
t l t3 /vl o /e? s ue

ID#

CK#
C° Hit I2i- Es w-LvuISE F tJN>f~0 °o rl
of ~tk TA 7-3
ID# L+ rt itl o v Eie
J a ~~ N
CK# l q-,, & M . H-tk
v
v( 13 9 m Z it- ~~ 3 /~_ ay
ID# c ItAR D -1-au Eivu V/tk TUNA
CK# Cob S6 ._ SE 6{'t sFV
I-a3-o( ~d~l7- ~'l 39 as io
ID# ~".~MEs F' , ?"zQEr2it~~
CK# o v '
3 D M. ~1-- A-
ID# `DAN -4- S'vc H
oo r/
( CK#& 7~-3 N I)
~3 0 235' ao
ID#
WI i Ant a J iRt° l NlA (E 2A,A
r UO
D/ CK# o~ sb E`, rf t S_ .Sb
X21 Cl M ~ lf- tea - / 7-3'fo .S- a
ID#
00
CK# W333 S PJ 3 / sc S -t- ~ f/
If q- 2~_ a 3x l o
ID* l~Cr -rti ~ $u z 11 ,vaE" G't-SoX~
00
CK# ' e Sill qa;?St
~`t l ~Sk fb
:J'7 A- $'0311
SUB-TOTAL

TOTAL (ff last page of this


schedule)
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contrbution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page q of
familial relationship . enter 'not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including carodate's personal hwida)

CHECK THIS BOX IF


COMMITTEE NAME (Must be same as on Statement of organization) AMENDING FORM

't)Ef4)QIk`N '02 S7'ATA2- S,EttN4TE CoAtyt 17TEC-

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 688.32A(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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ,btA9`/ E - Tt~ VL.ofZ
it 321 oulb
CK# 0
0
'D 41L A- 5- 03)0
t4killgr
ID#
J'J £ 'V .VE7t4
CK# 311 SuJ 31N~~L OB
n,, .'F7 rF So3 z( l0
ID#
'DjF A_,V'+ Ho Sli=r~
CK# ~! 2 g ~ SC
v
UNNE LLS mil+ 5-vZ 37 /0
ID#

CK# / llo -
CAR T - ic R-
I -,,-c s= oa
I' 3-ot 2 S- 3
,+
-- v3 z z /o
ID# -TV E2Soxi
CK# a la l '7 /4 O L (- A V
M _~~ A- 57-a3/7
ID#
(3rel-o! biewEY
Ett e )4 kt) cd

ID#
RU 7 I-t S H -l~14ete- 00
sE ~tK r?f /a v
CK# 3 X3 / 7
2 `~5F ~4 ~ r S
ID# Pa ST-- 4 c. Tutus
I3 ,t/ r3tt~'ti o0
T fro ^ AS0~ hU
CK# IS/ 0
(ooo-
DAL-T.4 a 3/1 4,
ID*
f~J r t_ ~. l ft trt T l+ o pc t ~ S a ~

ID#
~asE seoR r:~~~,-rr
oa
CK# ~aa S£ i~rrzr~wBO
M r_" A- 5'o
SUB-TOTAL

TOTAL (iflast page of this


schedule)
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the thud degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If sumame of contributor is the same as candidate, but there is no Page l° Of f
familial relationship . enter "not applicable" in the relationship column . (for Schedule A)
For InStructions, See Back of Forty SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 0&97) RECEIPTS
(including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of organization) AMENDING FORM

T-c2 STftTE SEiUrfTE Coin~~7? E J


STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE 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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

CK# io tJ # 2 r c 04
Iii E S /LIo~K/c s,rk ,-

ID#
A 1 kE li-N Z /2 c Iu S
CK# 3~0 aU7-"21C - °°
to `
rr
M -TA- -~;- o3 i3
ID# T6 AA 1-I o C k t AJ:5: il^ I T I-t -
CK# -3 S62- 1= ~F3"oC -t-
LAI s-0317
ID# tJ, ,tJ - r--E C. jy A V
w,9-61:' Ry C R.

ID* -Joe-1 F J,&/ I!,

Id 6 3 - S S& d~
CK#
17 4t -15 - 6311
ID#
&AA-0 it: F-S 00

1b79 At X030
~-
lo#
PA flf2~ K
~ / 3a S CT acs
CK# 3
i
ID#
4E- L. A j N E SzVMON j q oi< 00

.~y_oI
CK#
-P 3s3 a // 1. - y-q t5 SG
ao
49"v 3/0
ID# t}CKELSOA)
111AQ C .
CK#~~~ 5S~S SCttW'E1 KE P_ 7 )A? Jl
/0 Y';o I a r S* NT fl I L. L y A- o z a
`~ 0
ID*
( 2z o e. 3 a Nps`C- i 1/11
CK#
5_11 31 EE0 3 /
-1 1M +
SUB-TOTAL .
$ y o
TOTAL (if last page of this
schedule) L$
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marhage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

b6AQi7EA) Fog S%ff7E SEA/ '7-E-


STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION: Section 688.32A(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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (ti applicable) RAISER
NUMBER INCOME
ID# M it F2 (A A-,e LT MAC) K) C
tt A) S 'r C c. 1IP- Q'v
S a'I' M
CK#
~~vs-
o~ $ Y
m 3 , 7
ID# r}V rb V.J+L k , NSoI(J
cK#
sa a4
ID# .-T -' a bIII TA y Lo rc
GO
ID # 3 1-316 liflf o 4. AVc NJ
to-~of Lr=p 2 IQt~I S
ID#
H' C Df~' cf?t$- R~tM~4~('~R
~fi7t14ZVf~
00
CK#
~p . .aGj .p~ 'T702 PC.c S~FAIT 1`f- I LL ~f}-~0327
ID# (~/ fFOMc 101L beeS f}SSae.
CIO Q l if Cr. Klu >~ N (~-D QO
CK# l /
/0, ;Z9-oi 0213AAJtIf}i_r= fi a
id32z
ID# ,
~~tc 9 - < 6 0
ao
,o / CK# a ~O
I lW
4-
ID# Ca V ~~U IS
3u ~, -rrr rKe
rail-Alb ItIt *1, 3-o94
o a
CK# ado
Z + S-a 3,:2 - f 2 -7 54
ID# Ea e D4f<WC-e
l30 Z
3 ,1 V J-4 1- 410

ID# C 4 moo/2E7
~ lf Ul2o2R ~4U
CK# ~,
l~-~~-d I X2250 gyp- S0322-13-`sg o~d
(J
ID* o N x L b S7~t ti' -- y ~~ CIO
oI CK# ~) 34/ / O b WA t- L fgC E
7) A,, _V A- 5-x 3/0 °
SUB-TOTAL

TOTAL (if lastpage of this


schedule)
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contrmbuton to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .). If surname of contributor is the same as candidate. but there is no Page 1A of 1
familial relationship. enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candldele's personal hinds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

i-a rl-' s A iZ c0 A A j TT E 15-

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POUTICAL ACTION COMMITTEE) . LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE 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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (N applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (N appNcable) RAISER
NUMBER INCOME
ID# og~~rt J U c.t~ FLeA , Ald,
~/0 6 3 - tr S z- $ e0
CK#
~a~- .~ 1- 6 f v l/c.5 /E10 ~.' c 5 x- 50 3 l ~S DO'
ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL

TOTAL (if last page of this


schedule)
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page /~ of f
familial relationship . enter 'not applicable" in the relationship column . (for Schedule A)
FOR 1NSTRUCTIOva, SEE BACK OF FORM
SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev . 09/97)
MONETARY
EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 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 BOARD .

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

IJEhICJ)c/L' TIe S %0~7-cSc X-'$ 7~ o0lvt .Gi r T -7~ t E


CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE
DATE AMOUNT
ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION)
EXPENDED EXPENDED
(if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# ~~ cM c P ARTY
N
~~ CK#
C? O lJ ri g~UTly ill
TC' $ 60
~o o
IN PaI-K Ct e -eN'sajevq Toe
ane--~ 7)E- Pa S i T
~'~sTEr ~klet~ USG r°&
CK#a
3~
IN ors o sT - rt c Fo
X17/0 HU D Peu- XIl
CK# 00
_D 1A _PA_
IN DaL (~ Co . 0eNse2V&r/ 7-c 2 PhRh'
OX~afi~J ~c A-'7T
j~sTErz ~K~ %L'wD cG
CK#-
CK#a U se ~- a /i ,-
C k fFN ~ z k .9-o la 9 S E '~f'lo
IN
C~h2i E2 ~2iwTlN~ ~ l ti,
~~ (2 r /,-/
CK# , -7 :3 q' E F 0%, ' 41/

IN R 4L ~s ~o s T sr ~ ~' C-~'~2
3 7 fo ff~ t313~ ~~
CK#_l3 .7 Fcs,v1~
I~'-~Snl
IN
PA --
t /-, c .4 1v
CK# ~,
38 ~ti~ ,fir+- sa 3z/ C! eti` ~'~ 3uTl oA.l
ID# rt R T c ,C
al N T
SIR, N T'/E & d Z/ ~4
CK# ~~ 9 17 39 . /r'~tti1 4)
Ati Pr- r~o 3 i b
SUB-TOTAL $ cJ.~j ~'
2-
TOTAL (if last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

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 expenditure made by the persordentity on behalf of the candidate's committee
. (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i) .)

Page

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev. 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE El 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 BOARD .

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

DE!} l~c "POE S~N7f 7 - E (20A rK / j7 eE


CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID#

FU ,v D f2 ~4 Sc
C K#a
~ DM ~~ So3 ao $
ID# oI-K Co T~)E IIA0S I
CQ~TQ fad f fDIU 00
.~to (o l ~"L EU2 >~
CK#
M _-~F 4 's-02,' .A., X60

c
ID#

S~rav~ e c
CK# r , a f+ 0
. , 6 tjc Nr +

ID#

CK#

ID#

CK#

1D#

CK#

1D#

CK#

ID#

CK#

SUB-TOTAL $j 8

TOTAL (if last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

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 expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(1) .)

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORT, 'SCHEDULE
E IN KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06/97)1 CONTRI13UTIONS

*De4iQ ArAl -Fo Q S~T6TE 5c' Al A 7 -t Coo OK M r TTEAE-


CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED v' IF FOR


RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MM/DD/YR) OF CONTRIBUTOR ' (if applicable) CONTRIBUTION VALUE CONTRIBUTION

C A let^ tie l E ID 1 fe /t F Al -D E

dirt TA- So3 ~~


l1p 5F2 la oZ °l

TOTAL (if last


page of this
schedule)

'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page ! of
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 .

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