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FOR INSTRUCTIONS,.

SEE BACK OFF 'M FORM


DISCLOSURE SUiriiWARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of
S UU L" nization)
ZYl r;eYZ
(Rev .01/2001)

For Office Use Onl


REPORT

Comm . #
IMPORTANT: Indicate type of committee you are reporting for:
Indexe
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
(5 )County PAC (6 )Ballot Issue/Franchise Committee (7 )County/City Central Committee
Audited ;, 'q -0
( 8 )Support Slate of Candidates Computer C C-' 4 W
CANDIDATE COMMITTEES ONLY :
-
Candidate Name _ C) P r a . C tf- 0- Z~ T Lpolitical Party

Office Sought District (if Senate or House)


NUM ~_ - &TN L F1w ~_
.9
c-, .A-~ .T_-,s4,_, If

Z/1 Z 5?'' - cS `< C


SIGNAT)iRE OF TREASURER (or person filing this report) TELEPHONE DATE SIGNED

Routine Penalties Due For Late Filed Reports Range from $20 to $800

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE:


I AM FILING A JA N 15 - .Z L- REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one
OCHECK 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.) . ....... .. .. .. ..... .............$
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) ....................... ..... .. .........................
Schedule H: Total Sales of Campaign Property (Attach Schedule H) ....... .. .... .....................
(Schedule H applies to Candidates' Committees Onlv)

SUB-TOTAL...... $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) .. .
Schedule F: Loan Repayments total (Attach Schedule F) . .. .. .. ......... ......................... .... .. ... .
3 ~. 7 s
CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) ................... .. .............. .. .. ... .. .... ..... ......... .. ............................ . ... .... ... .. .$ Z Q3
**UNPAID BILLS (From Schedule D - Attach Schedule D) .. .. ....... .. ..... ............................. .. .. .. ....... ....$
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .............. ..... ........... .. .. .. .. ... .... ..$ 3 re, S y L '~
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .. .................................... .... ....... ..$
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES X NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)


For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev . 06/97) I RECEIPTS
(Including candidate's personal funds)
0 CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

-Lc ~` _ Ic L- - ZT S / 5

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LISTTHE 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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

// j yo
vC CK# j 7 J 71 7 1~ . :., 3c j~ a- s -1 .

_ U ..
CK# /3 /1
IDi '~!'
rJ l rV ~.: C ; - Gu L c i1 dQ. ° :: LL;% t-
ID# (, v 7`j Z,r,t ~ .4 L

,, t CK# 3 5- 3

ID#
P1 C-
CK# '? L 1,. 75~: w t: i i OwrJ PA,ga'-" 6/ ,
<, c Ltl { S~ !J u 's Y1.t ci 3- oV £ 1 - ~ v L G ~

ID#

li `t( i Ny l - '3 v,-~- 57 . s v a. .Tt Z°Y L < ._.


u c CK# / 7 o Z .S
Cv£Si .1~i3 :~t~1,v£SIq ~''ve6c

aJ
t7~S i~~ a z~~ S :7- w y _U3/`/
ID#

.
~C

- D#fLC. ~c.~ .. Lra . Llfj&, L


V 14"7L T111kti5i-icr,j77< .ti
V
------
v UC'1IL7
CL LZVLL.i(,v:) 0st4 .- VLIIG" 7
I D# '~'I, c 1
4 5 ~: 5 fi V ~-
/ ~ZciL N .~u . l'lvT"Ct ~i . u~

.
t ID# Uf~ f-A s YlE C vtti " `/
l/rt
CK#
17/4, Luc-,, Z`

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 1nstruc:ions, -See Sack of Form SCHEDUI E
MONETARY
CCNTRIBIIT1CNS -- MCNEY TAKEN IN (Rev. 06!97) RECciPTS
(including candidate's personal funds)
CHECK THIS BOX IF
COMM1rEE 11AME (Must be same as on Statement of Organization) AMENDING FORM

7:~~ --I V c. -C -~' / 5 T-


STATE CANDIDATES NC--E
: IF A CONTRIBUTION IS RECEVED F90M A STATE PAC (FOLIMICAL ACTION CCMMITTE_-99, LSTTHE PAC IDEiNTIMCA- naN
NUMBER AND THE PAC C1~ECX NUMBER IN THE DESIGNATED COLUMN. A UST OF ID NUMBERS IS AVAILABLE FROM .HE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 686.32A(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 -d IF FOR
RECEIVED (it applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) ARID PAC CHECK (if applicable) RAISER
c '
NUMBER INCOME
ID# i,

CK# 7 2- J'5
/U(

)V ~ w Tt.n! - s-u w ~ 'Wz ~-


ID# r`
4-

lcuCG

ID#
X14 cx#
r = S m .. 1 r.> ~_ 5 -- z v.. . Q ,SZ= G> t
ID#
..S 4

Y,
til Z 3 C: cv N '` ltS
1< -A- A-j L.ZL
CK#
5 r" A S~J i.
ID#

CK# /Jib
iD# iT 4 c -4- r-
C ?-4 ~_
L S I~ Ili(, QX,LL 1f,11 iii) .3 ":17 - t -L c,
CK#
l
iD# G C>7c c.
Z_ Lc 5 ` -
7l mil( CK# PA < _ u i

l Z
L - 51 in... I A- 2`0

ID# GoSl
.lc~lr~
CK#,
oC C:

CK# . ._~~~ .}, ;;(~~ ~c FczvL,~~;r gvzn .~~z sJr-r~ 7*L

SUB-TOTAL

TOTAL (Iflast page of this


schedule) $
Disclosure law requires candidate committees to disclose the relationship of any relative making a contnixution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Pageof 2 of forms packet). If surname of contributor is the same as candidate, but there is no Page t--
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
For lrasFruc:1crIls, See Back of Form SCHEDULE

CCNTRIBUTICNS -- MCNE'l TAKEN IN


MCNE-ARY I
(Rev . 06157) RECEIPTS
(Including candidate`s personal funds)
CHECK THIS BOX IF~
COMM1rEE NAME (Must be same as on Statement of Organization) AMENDING FORM
c- - t~ -r 5 / 57- i
STATE CANDIDAT ES ~+lOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION CCMMrTTE_9, LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM 1111E IOWA ETHNCS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 68B.32A(t3), 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 ¬ F FOR s
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MAAlDD/YR) AND PAC CHECK (ifapplicable) RAISER
NUMBER INCOME
/,` ID# FL ~ 'Z
FILk ~~ ~ q~ .

L( lOL CK# 9~f


/ ID* y / ]-,, I( 'oL-

1 G CK# 7v 7 - !7 r` t* 5 Tt1 LT 'T 1,T4.


f J
J t YZ c

I C./ ^ S/ -i{ .~'1.t~ lv 1t LS -clt~i

:LCK#
0

ID#

CK# _

ID#

CK#
-.
ID*

CK#

I D#

CK#

ID*

CK#

I D#

CK#

ID#

CK#

SUB-TOTAL

TOTAL (if last ,page of this


schedule) s , 75-0
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 contributoris the same as candidate, butthere is no Page -of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
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 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)

/ T-
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDIYR) AND PAC
CHECK
NUMBER
ID# iD '? ~. ~. i2 Z N Tzr1 u : T w ~. i3 A Cr i

1u 73
3/03 CK# 1/S1 5c.r . 3'--u F~= Z~w~
i F- $ /C~ 3
SST" 5~'~4t2z
ID#
Ld i)-it:- s ;
CK# lib _
Z 5
Lam: j 5' ~-L ~
I D#
"va_ .vr tit'LVi CLL+u;1cLf /~1JvLttj'Z$ Gt-u'
L
lLt~l,` CK# _ _ki ?i2 u G-ft "9 -I

ID# u A Ti Tif v .~ ~ S
u ~h 7- /l O "^'l 7 tlr Z 5l' L1 A i I-r% " 1,:
CK# /l Lr L rt ~-
L$~uL

ID#

tk V,
~~t L CA 4T5

_ ID#
U. , i 7T11 L, Cx- I t"i
Jlu v/ CK# 21 Lt

I D#
f
~tV L Ci1 `Z 4.,` ~ Z CZtiJ t T f.21 F. l~ i~ G- Z ~ lL'Lu rvZ-h"L
CK#/<Lrf
.S C-- i , e(
SUB-TOTAL $ //~ 7 1
r
TOTAL (iflast 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 personslentities 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 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 0 CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

S 3 ov c~~ T Z' 5
r
i S /
--

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMIDDIYR) AND PAC
CHECK
NUMBER
ID# i' y ~~ I yCG :,,,)
t. 5~,

3': a 5 ;fit-T
/1,71

f CK# %llv Sal 4 TZ tZ $ _ ~-,


li z .

ID# t G~= . ~ ti ~~ cr}- _i


_ cy
c
S

ID# P 1.K. c i-A --L M z il N c. T

CK# //7c

I D#
7--q IM,~~-TC . ~rI.vJ ~
CK# II ?
U
:>
ID#
L, -1 41 Q1, 3 .~ .~, ,r <<:
C K# %l -Z.C, -7-JL,;
C Z-7 -
ID# r 'i "'L~L~

~( CK#

I D#
iv r c-1 ( . `l C, ; T- 1 ---
CK# (7 c

SUB-TOTAL

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)(i) .)

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

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


EXPENDITURES
(Rev . 09/97)
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 0 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)

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# ~u q

ID# 7~l1 h w u ZT~, C.~ . t7 Lrvr~c :2 r9 :S


rtis E

CK# L C
tJ C. i WiF' ardw:~
ID#

lI77 t Lvr F- ~'a~-~


5G~~
ID#
vS ?~W c~FZCt f~VW'p~..t 7a
11
J/~GtG Sc~.-cJ 5"T (J cs r
/25/ CK# /17 t- Z / `( Wt- C.A`tav ~J~Q~2S l cl 5.

ID# T-&
I-lrliZc~L<)~
°~/i /fWw1LTR=i~ .
rl CK# l17f . 7 , tea ~Z~ T~c~ S tti
cl L 0 C-c
-~` -
ID#
S Ttc. ~ l-t i n.> f `~' w~ ZL i- ;j c
/Z
CK# i(vC : 3cc~ .- ., TCzr ,kn -c a L ~ n2 ~ ~i7 St 6t~r c w~

ID#
7:5-

I D#

CK#

SUB-TOTAL

TOTAL (if last page of this schedule)


7S
1 $34)(o 8 :

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 c.: ndidate'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

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


E I IN KIND
(Rev. 06/97) CONTRIBUTIONS
Z'Z
0 CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED 4 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
60-7
j `I/, z.t, ?tic - .YZI <LAJT Zoc_, ; $

)AD
IlAG-IJ

6 G, 1 U

Z
q 5 r~) n

SUB-TOTAL 1 $

TOTAL (if last $


page of this
~S
schedule)

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