Disclosure Summary Pag Jan 2 2002 1-22 DR-2

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F,OR INSTRuCTtONS .

SEE BACK O 3RM OIS(3i,+0EiEl BOAR FORM

DR-2 I DISCLOSURE
DISCLOSURE SUMMARY PAG JAN 2 4 2002 (Rev.01/913) REPORT

jfl 1-22 For Office Use Only


Comm . # -_
COMMITTE NAME (Must be sam as on Stat en of
Indexed
Audited _q4 4
IMPORTANT: Indicate type of committee you are reporting for. Computer
( 1 )Statewidellegislative Candidate ( 2 )Statewide PAC ( 3 )State Party (4 )County/Local Candidate
( 5 )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )CountylCity Central Committee
( 8 )Support State of Candidates

SIGNATURE OF TREASURE (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 ~OU `Z REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .


(report date) Indicate one V11- I

OCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

County & Local Committees, enter County in


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

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

l-5 ysv . .~ -; /
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)
Schedule F: Loans Received total (Attach Schedule F) ..... ...... .... .. .... .. .. .. ...... ..... .- ..... .. ...--- ..
Schedule H: Total Sales of Campaign Property (Attach Schedule H) .. .. .. .. .... ..... .. ..... .. ........
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL......$

SUBTRACT TOTAL MONEY SPENT THIS PERIOD


Schedule B: Expenditures total (Attach Schedule B) ... ....... .. ...... .. .. .......... . .... .. .. ..... ....... ..... .
/Dyy3S
Schedule F: Loan Repayments total (Attach Schedule F) .. .. ........ .. .......... ....... .. ..... .. .. .... . . ...

CASH ON HAND at the end of this reporting period (if final report, balance must % go .
be zero) (Attach DR-3) . .. .. . . . .. . .... .. .. .... .. .. .. ..... .. .... ............ .. ....... .. . ....... .. .. ...... .. .. ..... ..... .. .... .... .$

UNPAID BILLS (From Schedule D - Attach Schedule D) . .. .. .......... .. .. .. .. .. .. .. ........ ....... .. .. .. . .. .. .. . . ... .. ...$
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . .. .. .. .. .. ..... . . . . . ....... .. .. . . . . . .. . . ... .. . . . $
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) $


I
ror instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . Owl RECEIPTS
(IMAXNq CandWla's personal lands)
CHECK TI*S BCW IF
COMMITTEE NAM! OWat be same as on Statement of orgaruzadary AMENDING FORM

--T.
STATE CANDIDATES NOTE IF A CONTRIBUTION IS RECSAb FROM A STATE WK; Wxswl. ACTION mWoMmIx7reEn LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DERWW"181) COLUMN. A LIST OF 0 MASUIS IS AWARABUE FROM THE KMA EINW8 AND CAMM&PANIOGN
DISCLOSURE BOARD.

CAUTION: Section 668.32A(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 pAbud

DATE PAC 10 NUMBER NAME AND ADDRESS OF CONTRIBUTIONR RELATIONSHIP AMOUNT v IF FOR
RECEIVED W TO CANDIDATE' RECEIVED FUND-
(MWOOM) AND PAC CHECK Qf applicable) RAISER
UWASER INCOME

U3#
$
CKO d

ID# 41 co, C-C ata-T-


CKV
-f~- e 414r- 17- ?6'- ~,q4, 3
ID#
0
1,2
UK, -- fit
' QKQ#
'-klo0

-
KeW lec-

CK# X+ - A~ /00
X)11/0) jilder.)ende-iiCe--, bf S-04-49r W- klle 4

lQ~ l
CK#
,2 /,V

/o/

9s
~

1D#
INS /W
VO A ~S 'ib,10 3
11 _ ~,~
~ a..n /~ . ~f

//0
CK#
I
g4,1

-70

1D#

CK#

ID#

clue

ID#

CCAKQ#

SUB-TOTAL ~/

TOTAL (It last page of this


schedule) [$ 75
'DWAMM INN requires candidate committees to disclose ft relationship of any relative making a contribution to the
0Wnff1ft*- Relationship aunt be shown 0 Me thing degree of consanquinily (blood veladves) and Way (relatmes bV
namagel (See Page 2 0 forms poop. 0 surname of contributor 4 Me same as candidate. but there is no
enter
familial reladwWW, -not applicable" in the relationship column . (for Schedule A)
FOR INSThucTIONS. SEE BACK OF FURM 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 O 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
IO# /7/4i lL'/r~53~ C T"t-CSS S=G~h1~Lc "~cc~~Gf.~~ T
3~~
y
cK# $ 3y~~
i~%~ulr .sf~~ 'fl 31ld
ID# ("' u .~y~u /cts sbt~ad~= s/, .~~1 vc' c~ . of
5 f3,-,X 1~2 o
lie I CK#
~ ~1D3S5 Gjrzt2cleo /rf
ID# .

Id J CK# 13

~
( CK# ,

ID# ,"a, ,~
x ~ ~~'

r ID# i f c am - " etc--


SLJ_

CK# ,
lt qY

ID#
a~u lAI L. C r'2G-r. 11,e7
~c 6dc%yj

CK#

ID#
LT
~d
l i r,
CK# :'` s
l 3 y ,~

v SUB-TOTAL $
TOTAL (if last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:


Purchases of certain campaign property costing S500 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 persoNeniity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56.6(3)(1).)

Page
FOR WSYRUCTIONS, SEE BACK OF PuRM SCHEDULE
MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B
(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 O CHECK THIS 60X IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A UST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS 3 CAMPAIGN DISCLOSURE BOARD.

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

CANDIDATE NAME AND ADDRESS TO VA-IOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED rd applicable) (Disbursement) WAS MADE
(MMIOD/YR) AND PAC
CHECK
NUMBER -
ID# _k _ sL ld.
/U1 CK#
.
.
,?o d'_X

/ ID#
' 2~f
, ~, G 9, CAL
CK# Sid
~crtJ~~:c f! 5 j~ 9
r/ ID#

CK#
151V
ID#

p CK# , .

ID# -

CK#

ID#

CK#

1D#

CK#

SUB-TOTAL $ 16) 9. 8J

TOTAL (if lastpage of this schedule) $ jl,jIV . r~

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchases of certain campaign property costing S500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)

Expenditures to personsfentities 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 persoNeniity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 56.6(3)(1).)

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