Hug, 30, 20(14 0 :24AV p DRA r i ~ i°>4t: t 0517 P- 5

FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DI SCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on SraferrLett of Of aniiahon) (Rev . 07/2003) REPORT
~:A-°,Z-.4n `> Anti c"Nt~-; - t- ..~~.~~C\`~,r"C, L) .C_aC .~ For Offic e Use_Only

IMPORTANT: Indicate type of committee you are reporting for; 10 Comm, b

Logged In
fY ''
i )Statewide/Legislative Cancidalo (2 )Statewide PAC f 3 )Stale Party (4 )Countyt.ocal Candid-1,101k
( 0
(
5 )County PAC ( 6 )Ballot IssmvFranohise 6(Dpirnillea 1 7 )Gounty/City Central Committee Scanned
B )Support Stare of Candidates ~~ omputer
CANDIDATE COMMITTEES ONLJY : 1 Atudired
Candidate Name

Office Sought

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

Late filed reports are subject to possible civil and criminal penalties .

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :

I AM FILING A REPORT FOR AN/A (1) ELECTION I(2)NON-ELECTION YEAR
(report date)
Indicate one LJ Local Committees, enter Date of Election
ECK IF AMENDMENT TO REPORT DATED

County & Local Committees, enter(' ounty in

which Election Is held
Chock if this is final (termination) report and attach Notice of Dissolution Form DR-3-
(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 same as the cash on hand at the end
of the last reporting period, or must bo 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 Onlvl
SUB-TOTAL . . . . . $ 2-+ Q
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . Q_ _Z= %C -_
Schedule F . Loan Repayments total (Attach Schedule F) . . . .  , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,

CASH ON HAND at The end of this reporting period (if final report, balance must
3-3 LC
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . S

` - UNPAID BILLS (From Schedule D-Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g

-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) $

 No . 05 1 7 P. f,
:
?
Auc, ?0 . %M
2004

See cack ct Fctr :n

4 - 1

CON WONCY TAKEN !N

(RP ) ` RECEIPTS
rlnCh!Cgyi G2ndICnfG : ~'?!^,': :nal fJrn]S

~: HECii )iii_ 5C-',X IF

COMMIT- CC -NAME (klusf C? Vin) : e$ on StAiyfnvnl0`Or~9r1). Ir017j t,A-NG ;NG ,-npr,A

STATE CANDIDATES NOTE : IF A CONTR15U11pN IS kECF.tvFp Fkpd+4 STATE ?AC (f'U( tTl,~gL H(;TIQN f_'qh+hdlT7 E1 . L1~T TItF PHC IDENTiF!CATr .~N
dt1Ma7R ANC THc PAC. (.'.HECK W;IMaEI2 IN TF4F ULSIGN4TE0 (.'CI, .I) :,hN A I '$T Q " ICJ N ;IM" Ef; ; 'S Avn,ll n .?Lt ~r CAM -hC li~~+J;, ,; T! U"S i~p1 .'-) C'.ibii'AI!`N

ca.t,1TIONI : Sra^tin 6$rc ;Ar6) . tow'a Co9a Prohiaitt tr,z uac cf vn`,aiion GopIECI ~ronh rg ;>nrtS ~.n : ;;i~,tt!nc%+~ +c:>r Sb1lCilinr, r".pr!(rdnn1(.)' ur
for ar,v rgmm :rttai auraoSO by any person rj''Irz".r than 3laltitory polltw,91 rp ;rnnffig;,

I
hnTE i ~Ar: it) t" 1lJ!v)~ER rtn4Q°. P.?Ir n.IJC°.~5 : C1F (a~!~''f ~', ;511_tj ! n~Li, fI :~N tila AV~OL%1'i i l , IF FOP
I I II
I
it +~?!\':'l (i( smpI ! O (,ANJlf~A'I t` hECFI'vLD FtJrdJ-
(f~A~Aifif)Il'R) AN()pACCHECK (if,8pairsabia.) RA1 ;Ck
NUhg6FR ! INCnMC

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SIJ -TOTAL

TOTAL (ii last page of this schedule)

' Disc105va6 4^vj re ;,olr;s candidate. cammlitvls to di :ciocf. the relaio^St tp o! any rrl(aivs making 2 con; : ibtllinrl to !ha
oo°nr+,iitec . S.~'Iationship rhu> ; h ;hown t ., Ins third ce~ .oc of cY+sar,(juinr v (clon(1 rrla;ives) r,n(I y`iintiy (" c ali-jes Ay
narri.;ac) If surn,me or ccnlributor is the Sa17ht as candi:81?, but thpr.9 i^, no r aa~ __1__ _ G' w!. .
farr+ltia! ralailonshin, gntor "r)rJ1 a?phrable" in the rclationshi; cclumn (for S::hedule A)
 Aug,30, . 2004 8 :24AM No . 0 5 17 p. 7

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TOTAL (if last page of thics, scrjedul6) I --I

7 13250
car7iuw a "we W monmW b an nose ma"g a mmnw"n 0 P ;9
muV .,)e I,% . . M wMav&N (oae wm) hu WQNW 'Toter yy
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same ascanmdwe . b w"nox"
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