FORINSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2

(Rev . 12/2005)
I DISCLOSURE
REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only
Comm . #
IMPORTANT Indicate b~t type of committee you are reporting for: Logged Irll
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate (7 )School Board or Other
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC ( 11) Local Ballot Issue
Audited
ANDIDATE COMMITTEES ONLY :
to Name Political Party (if applicable) File with :
C"rL It Iowa Ethics and Campaign
Disclosure Board
Office Sought District (if Senate or House) 510 E. 12'", Ste. 1A
Des Moines, Iowa 50319
t'1/P~ aliS Fax: 515-281-3701
Late reports are subject to possible civil and criminal penalties. Pursuant to Iowa Code section 68B.32A(7)
the candidate, for a candidate's committee, and the chairperson, for any other type of committee, is the
indiy*al responsible for filing timely and accurate reports.

/a -% °o
TELEPHONE DATE SIGNED

I AM FILING A (1) ELECTION /(2)NON-ELECTION YEAR .

(report date) Indicate by # 0

[:]CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

Check if this is final (termination) report and atta County 8 Local Committees, enter County in
(You must continue to file reports until a D which Election is held

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds 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.) ..... ... . .... .... .... . ... . ... .... . .... .... .... .. .$ 'l 7 F 7. 13
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 Only)
SUB-TOTAL ....................... $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) .. . ... . ... . ... . ... J,-z, ('p
Schedule F: Loan Repayments total (Attach Schedule F) . .... ....... ..... .... .... .... .... ... . . ... .... . ... .... .... . ... . ... . ...
CASH ON HAND at the end of this reporting period (iffinal report balance must
be zero) (Attach DR-3). ... ... . . . ... .... . ... ..... ........ ........ ..... .... .... ... ........ ..... ... ........ ..... ... ..... ... ... .. . .. .... .... . . ... ... .$

"*UNPAID BILLS (From Schedule D - Attach Schedule D) ... . .... .... .... ... .... .... ..... ... . ... . ... .... . ... .... . ... ..... ... .... . ... . .... ....$ t`i
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . .. . .. .. .... ..... .. . . .... ... .... .... .... . ... .... . ... .... .... . .... ... .$ G
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .. . ... ... . .... .... . ... . ....... .... ... . ... .... . ... . .... ... ..... ... . .... .$
CONSULTANT BREAKDOWN (Schedule G Attached?) _ YES NO

CANDIDATE COMMITTEES ONLY:

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

STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year .
 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

STATE CANY)IDATES hOTE: 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 .

PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR

DATE
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
IDI

CK# ~ ~3 . .. asd `~
tr ID#

G `` ;S i~ Si. I Te
`13 r
CKa
lSe~
ID# Lbw ;r Cl~~r~o~ A~T~v S0Grr=T
D :5
i & 05 ~ , vl Pen y i3 ivd~, S%GP I
`( CK# ,
Al ken W t47
ID#
it 174 d1 --
/I- Tea TTN1f9
CK#

ID# -~-
eSt2 S h it;J ~ + J u.~ e~ J HIS
CK#
r
,; ID# ~ b erZ7 ~0 5 e-rl
CK# Old ; ~3 ~v0
_ U dr
tJ ID# ~G 7 V ~.a ( 9- Z_ i4te~ lV ~ ~
,.ya! gsi ~oc~c5j ~5~, J FL
Z .17 C~ c!

ID# iJ"94 c-7_1 0 ,i

CK# _ G%
% 5" ' l CJ~TJ

ID# j, 3
CKN
Ale- m_1 To e J_ C-2 e
~: L~
c~1 i ~t 1~4 u fe-
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
Page -~ of
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no
(for Schedule A)
familial relationship, enter "not applicable" In the relationship column .
 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
I COM_I4IT_TEE NAME (Must be same as on Statement of Organization) AMENDING FORM

-/
7,
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# X37 . - vc r %~ ~
ICSGj N' ~n ke n 1 1~ ~ SI_elt<C/ $ ,xl
CK# /
.ZG
6. :?Zlo~ OL ~i'Z

7
- yy t 11
ID#
~/_~- L ,urn.
CK# 3 a tI lt,r h, .~- rv
-0 -0 Uv
ID# 6 0 7 a) L owl ~~lc~~
a
CK# l as Pr Gs~ .ond ~4vt° . _
h/ e .s T ei 4- ck 4- 5 5

CK#

ID#
s/
e
PL
o~ 2
~~ ft2rellJ G . ~a jd ono rJ
-s
CK# /7F/ '2o YIL .ST K,,IV - V%eRe
:`--mow ~
e
ID# ~ Ile w /0 _ ~frtdwl(9
CK# ///4~ 5c_, kol/
&2v e
ID# BAR k'S
CK# l jv 5~ -Z `l l

ID#
~n~ ` -. ~'J~Terzs
CK# 3/,. '2 ~ e1) 404,c-,a(- /pct,
4221
ID # ~f9 ~ 2 ! c. l r1 l9 . f'1'l e 11 %
~'"
CK# c>ay % r~ss ~~ .

ID# o ,~,v,~t Cv u Te .Q-~

CK# ill ~~sr fl~l~

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 i.J
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
f COMMITT NAME (Must be same as on Statement of Organization) AMENDING FORM
/V A

l
STATE CANDIDATES NOTt. 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 .

PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR

DATE
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (If applicable) RAISER
NUMBER INCOME

71e-
ID#
I'eS S j./
$

CK# ~ 9oS Ur c'~TI'q l~~c. '

~1 !d D( L~C_ s 7- 5 ~, s id oa
ID# r1 rG~~Yi L JZ

CK# yob a ov " s Gu

_ U
ID# j4SSoc: .~ied 6ene e o4 CooTR,4GJ D1j-S ~~Tj~. />/QL+
66
701 tr . Gd :zrtT due,.
CK#
es . ~q
J'701_ r3
ID#
CK# CaoZ
°2~I N. (, I1rCr't~ JL, Scu1~ j~J ILit
-
ID# ~~ ~~ r?C
f~11 ~INJ~f;,fLr4

'Caw
3 13 40,4 , A , ., iv vi
_. ; ...

ID# X, cbe2% 0.
CK# v2 7 ~~ f f ~q ~9v~

ID# l~'luni/o .9cJ

_ t
f ? 3S /V L- ~D

ID#
7/ ~c L f9~`~''ly
, CK# t~ :
o
ID#
CK#
SUB-TOTAL

TOTAL (if last page of this

schedule)
of any relative making a contribution to the .
Disclosure law requires candidate committees to disclose the relationship
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by ">
If surname of contributor is the same as candidate, but there Is no Page 3 _ of
marriage) (See Page 2 of forms packet .) .
(for Schedule A)
familial relationship, enter "not applicable" In the relationship column .
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 09/97) I EXPENDITURES

STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
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)

CANDI TE 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# 5 To rz.,~ Co. ~crd~Ta~ . C~L~si o-F y Go,
,v-F Iy
~l .V ~,. S %. llohs over- /1je $
CK# 1,5 ;7

I D#
lr f-Z ~'s7 ra i'1 r~ n ~ ,
i%G l7~ ( iD nu

1
_
CK 1061 Q, ,DwKGGl=i4IlG G~9~~K
t3't)
ri 12,4 2 1~.4. PCs l°rDi/1C'S T
ID# TAZU+n wA f-1, ,,a
ZA oe^C, t ~ ilU ~~TY '~7 d~"C
CK# 16&,2 F( u Ps l~jOrr~t=
ID# CAr2Te :2 P_l< r71rrfc~ PR/n %~n y l~f+rt~ S ;~ ;a

/7 3 /IS' x VIQ
CK#

IN

CaPds 7: 'y
CK#
A) o lf~lr -~
. ~~cwr
IN C: .9~~/~ (u -TT 0;fine-12 Ilcke(
plc?/~ GG(:th(l~ C~G~f3w~
CK# ~GYrJC~ G

ID#

CK#

IN

CK#

SUB-TOTAL

TOTAL (if last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

H . (Refer to Schedule H instructions .)
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule
be detail itemized on
Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also
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 by
Schedule G instructions and Iowa Code 56 .6(3)(i) .)
Page l of

Ifnr .Crharit ila Rl