Академический Документы
Профессиональный Документы
Культура Документы
I AM FILING A J u tUI lS -~D QCJOI~~ ZNVPORT FOR (1) ELECTION 1(2)NON-ELECTION YEAR .
(report date) Indicate by #
K IF AMENDMENT TO REPORT DATED O CfO be-V' 19, , Local Committees, enter Date of Election
EI Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election Is held
(You must continue to file reports until a DR-3 Is filed .)
Muni ~A G
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# JZSS'
R- e .
q ~Z~1a~l CK# 1012 ul s fJ C(-L~+71Ld
b1 $
IJe t~J k~-a n~ t~" . SO (o s C 6h
o y G1~0
.r C Lane .
l CK# 101Q 134-
~O~P
lZ ol~v,-~1!)ti~s Jef i~-1 D LI)
ID# IZ06
C~
1 ---S46 sty ce+
4-,4-I, ,
n Z0
1 ':~10 CK#
4~) s t"1`) 5 0 =s I 1
1D# S~ y
~1~~ plz~ (~r Sty-~t 29 .P
l
. &Vcknduiew ~ c. tt 01
CK# IUZ1 ISS' N
`1130!0`-1 S0
v LL - tom. S 200
ID# "SAT~-k ~lir ~or,IL Scwi c.e LG`av-~.~
CK# c1 ~a_~ e 5 .x
0 J " lI
Tq
`Ds M SO 3~`i
1D#
CK# J . `-I O
-~ L
ID#
II
)~ CK# 5, 30
ID#
CK#
SUB-TOTAL $ .
~S
TOTAL (iflast page of this schedule) $
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H Instructions .)
Expenditures to personslenlilies providing consulting, advertising, fund-raising, palling, 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 personlentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i) .)
(for Schedule B)
OCT-19-04 04 :15 PM P . 02
~;
~\ - V
Is ONATURE OF PERSON FILING REPORT
t'A _ato--& 6
TELEPHONE
0C I}eck If this Is final (termination) report and attach Notice of Dissolution Form DR-3 . County A LocalCommittees, enter County In
which Election Is held
(You must continue to file reports until a OR-3 is filed.)
tart
"UN;AID BILLS (From Schedule D - Attach Schedule D) ....... ... ... ..... .. . . . ... . ... .. .. . ... ..... ... .. ... .. ... .. ... .. .. $
")N ND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .. . ... ... .. . .. ... ........ . . .. ... ... .. .. . .. .. .. $
"Ou STANDING LOINS (From Schedule F - Attach Schedule F) . .. ........ ... ............. . ..... ..... ... .. ..... ... $
ATE COMMITTC93 ONLY'
YES ONO
CONSULTANT BREAKDOWN (Schedule 0 Attached?)
,
VAL VE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
OCT-19-04 04 :15 PM P . 03
CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
R AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS 13 AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
SURE BOARD.
ION: Section 88©,32A(B), Iowa Code, prohibits the use of Information copied from reports end statements for sollchlng contributions or
Commercial purpose by any person other than statutory political commltteee .
at f~
IDI#
~u cca w_
CK# (aoL S , 10'= Qockc
-14 L
100
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
contribution to the
' Died ure law requlrss candidate committees to disclose the relationship of any relative making a
as Relationship muet be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
cotrvn Page of
meals e) If surname of contributor Is the same as candidate, but there Is no (for Schedule A)
temlll I roiebonahlp,
. enter'not applloahle' In the relationship column.
OCT-19-04 04 :16 PM P .04
h'(hfl c,
CANDIDATE NAME AND ADDRESSTO WHOM P AMOUNT
D TE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXP NDED (If applicable) (Disbursemeng WAS MADE
(MM/ D/YR) AND PAC
CHECK
_ NUMBER
`f r l fi~1~L
CK#
R
P-40- - I t7O~
ID# b4l IC2~21L( '
1 C
lo~+ .1 C~c~~` ~ - CM~ ~ oz- So 0
CK# 100 -1
LI (A-J LIZIO t o S ~ y S(~
ID# ~3~~ --~'
.~ trf1~S fh~1, `~3-ti 1c11~
~' 1 b 4 CK# IOC
~~ Cs~ IQs
SUB-TOTAL $ `y
(for Schedule B)
OCT-19-04 04 :17 PM P . 05
M{~1(~
STAT PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CAND DATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC ~" HECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS Is AVAILABLE FROM THE IOWA
ETHIi 3 a CAMPAIGN DISCLOSURE BOARD . AMENDING FORM
,I PA Cr
CANDIDATE NAME AND ADDRESS TO WHOM PURP E AMOUNT
D TE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMI DIYR) AND PAC
CHECK
V -~--
NUMBER
10 Ip# 1004
SeLtiKt~
11:5 L10 W, ice W`-- Ccr~ , vt vvj7 )o $ SD
CK#
I0
_ l6UC) L~ybooo U~0 ~
- ID# L4 ICLkQLe-' - 1/r VL,
'~ o . Boy- ~o z a
CK# IrUYtIMejSF 1
[OI
I L(
o I D# Lo v(>F
_Vs _ta ti J-) w ,- .
l S" aSZ~
cK#
SUB-TOTAL $ tj(J
c~
TOTAL (N last page of this schedule) $
(for Schedule 8)
FOR INSTRUCTIONS, SEE BACK OF FORM Kes
U~~ et k'or. J SCHEDULE
.~,:~~.w,~
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07103) 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 8 CAMPAIGN DISCLOSURE BOARD .
FprC,
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# J~ C~ ,;_ Cl f uls~ " Ce -~~ ~-,
uy ~ ~ cr~ti
CKII
CK#
54
I D#
CK#
r
ID#
CK# t
SUB-TOTAL $ t~o C)
$
,5- ,,
TOTAL (if last page of this schedule) IV
j
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to personstentities 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
I Schedule G instructions and Iowa Code 68A .402(3)(i) .)
Page _--b- of
(for Schedule B)