Академический Документы
Профессиональный Документы
Культура Документы
39 N I ' I A
&X/6A) Comm . #
IMPORTANT: Indicate by # type of committee you are reporting for: LJ_J Logged I ., !~ -------
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned ----------------------
(4 )County Central Committee ( 5 )County Casdidais +,r,-., ffqhool Board or Other
Political Subdivision Candidate ( 8 )C pft
1, 1
-_.-
414rd or Other Political Computer -------- ------------
Subdivision PAC ( 11 1 Local Ballot Issue Audited -----------------------
CANDIDATE COMMITTEES ONLY:
I AM
FILING
A 0. (-fO Le L ^ 1 ~) 2 OD40 REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
r_1 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 fie reports until a DR-3 is filed.) which Election is held
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Z,333,
-UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . ... . . . . . .. .. . . . . . ... . . . . . .. . . . . . . . .. .. . . . . . . .. . . . . .. .. . . . . .... . . . . . ... . . . . . ..$
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year .
For InStrUdonso So gsgk ot Fonn SCHEDULE1
COWTROUTIONS - MONEY TAKEN IN mOWTmy
. (W4111AI" WWWW's OWN" ke") (ftv. 0"?) 1 RECBWTS
COMMITTEE NAME (Must be -- as an Sbkwwst of OWt*&%l0n) CHECK TWS40X IF
AMINW4 FORM
T~ e- / J~p ie' I A, L8 emm E/edl'LIAJ 6ivlxl
STATI
NUMORR CANDWATU
AkC T141 PAC NOTIL
CHICK IFWJM69R
A CONTRIBUTM
IN THR 16 RIC11IM0
063KNATIV PROM,AASTATIE
COLUMN UST CWPAC10 NUMNAS
(POUTICALISACMW COMMtrrEg), U$TTKIE PAC 9)EWVCAlVh
AVAL44LE
OISCLOSUAS BOA0110 FROM THE IOWA EYW5 AND CAMPA4W
CAU'nON. Section 688 3Z446). Iowa C400. Pmh6ft #* use Of inftmOtIc'" *am rep" wW st*Wwtwft for sahbtkv contfibsAians or
for any commerCl8i PUnXW bY sny woon ottW 2*n SWOOrY W&Al 00"WWRW
---
oA- fI' - F-WAZTwv~,-i;-t.= m F REtATK*:,'jl.HPF- --Mr-Pr .4IF FOR -
RECEIVED (0 "PkA") TO CANDIDATE, RECE"D FLIND-
~MWDONR) AND PAC CHSCK (if apok"10) RAISER
Num"R INCOME
-77-0 w a- me d, ca I lotq C
JC>61 4KeNUe
C~y-,JA.)j $
CKO
9 77 lve,5~ D?-.; pio llues, -'r4" 60
.S924 7 IDN 6 3 /q/ 1 j a A--t VFIU-ev
'e -, ly, 104C T /0 ov-e I- aAIC
1 76 z
4 , /U6 fA 60
CKS
II-sv - &Y 77667 t0dlk)-t~, UJ Sl~-76 3
Se
101111
(0)-ss W-A Ais e -e
&Y eci
nV 5C&41A)e ,T-eWZL ST,7jej- Lj4&'j
CKO
.S21,04. Z- f
03 xc,'-'a sev P4C
CKIP 3 Z / a, ik a IoL~ijt - SV J ~le -9/0
sy '(ues 2-6)WA _~rokq- ZOZ6 1 MF 60
ld Nd /I verL) ue Sti,116~j 13
72al~ CKS /,/s3 iA)I% ~ 1
-
6asa
Cxv 1/000
- ,~',O 70 lUe-<,,/
&6-5~-~, f3z' v--l:- ~' D, ev:5
?~co "vw a Z-~~
CKS 3,yzy
-521 1,31- (-o2eO
1~~44:-
CKO ion
YZ066 "CKO
* COL),V-1' ~PeA)V
J~
027 6 //4:,
CKS
L 1 ) -3 5 fi%jo~s_ zzt
W&I-TO-TALL
0~.!0~00
TOTAL (If1"tpago of this
soft&k)
owd"um wa reaum CmAg"" COWWWAW to dim*" "felalkowo of wl mw%u "W"a ow*m1mm "to
wawAfte, ABWWW* ftoin ww's" to ft "m ftow of awwww*ft (b*w mmaAlt) aft $*#s (MW*46 by
fammWial rekobwaho, emw *no apphcoW in em mftboroho Ook". ftp/at
ow 3dW&A* A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) 1 RECEIPTS
(Including candidate's personal funds)
F-j CHECK THIS BOX IF
CO .MMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
he 01w 1i 114 .
7- 1~wprdlo i',Iail~Aj Czmmi 6,oc
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.
NOTE: ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD.
CAUTION: Section 68B.32A(6), 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 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 4- AJ42tVCX 60,~1,PA,1h0rj
C
I
Y2 IV6
CK#
cfd, 1D#
Z130
(~ qS0 - Sfa-eA-te e.zz,,,
7:- u,-r-j
-7:Du-z(
tLjjcfe.&r
s-1 36 1
C
ID# e,-
z '5-i-Ic
CK#
4-Qe,5 MOIA; 2~S OA
ID#
(CC) 7 7-
'el~l /- 0C 0 6 Ic- 50~1, 00
a-S
7za* CK#
Izez 1)7dAa I z7q 15-W017
ID# W 0 & Z~L C A,16 0 CC,I QuIrc
rl Ce
w~rl Ce- ~/1/11~
CK# /X1 (10
'a -;?o
9~5 611111k)e,,~,
ID#
9 4". Mdr S
C K# 4, L) , ~dfe P'3' i y 00, 00
; -~nCJAJ~S ,
ID# &,-t le- - /W C
sil ~F.5~grA;
CK#
ced(ep
ID# e&,
IqA;A)
CK# d Oz lo k 7n lqll~04 2,510 - 1:~o
4/
SU I OTAL
$ Ito W. UU
TOTAL (if last page of this schedule)
,$ 2
* Disclosure law requires candidate committees to disclose the reiationship 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 of
marriage) . Ifsumame ofcontdbutor is the same as candidate, but there is no Page --~L-
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A I MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07103) RECEIPTS
(including candidate's personal funds)
F-1 CHECK THIS BOX IF
COMMITTEE NAME(Mustbe same as on Statementof Organization) AMENDING FORM
NOTE: ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD .
CAUTION : Section 68B .32A(6), 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 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DDNR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
06 N ID# Ma- $
x6a* CK#
715t Ce ,
( 4 4 -T-64-kra-
(>Ctql
ID# (11 1 Z15-
CK# 0io
261- 7 Clve
113# .,~C
7 L), e A.,,, S
I
CK# Z6~-,o
Z 1,5y /Us ilefes /v~1/40 6t t?* 0
&I AVC
11
/6 (;, S- /C . AS
CK#
049,
ID# The ~ A-1
7ZIO(o CK#
Z-
41 - 00
* 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) . Ifsumame 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
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 .
NOTE: ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD.
CAUTION : Section 68B.32A(6), 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 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DDNR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 0/-, 7Z101 A"Ice
$
CK#
6 ~76
ID# C06(y J.
CrM
ID#
&i 45-ka~K )Lca~-et 1411ewder
&V CK# scl I jp z j 00.
ID#
CK# 6- t
Zg(a ID# 1)
CK# Wl 46
yo -re"A I-Ho
ID#
-3 4, (a /"",c
, 47WIC
V 4~7,
* 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) . lfsumame 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 I RM00TbrW-'J SCHEDULE
71- e
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# 72YAde CdMel~
VA I- "L k~e %
i
I
3/1
V- V
-30
CK# - QC? $
// q, -7 S~~o 0
1
Al
ID# 1-nat'Peli ek 0 00
ZJ E, /V'/A.J f
CK*/ Lia'
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL $
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 persork/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and lovwa Code 6aA.402(3)(i) .)
Page / -----of
(for Schedule B)