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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE


(Rev . 07/2004) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only
Comm . #
ell/ l l fj ~ra
Logged In
IMPORTANT : Indicate by type of committee you are reporting for:
( 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
Computer
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political
Subdivision PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY:
Candidate Name Political Party (if applicable)
'ii 0, 1 . Late reports are subject to
possible civil and criminal
Office Sought District (if Senate or House) penalties .

:'~ f 7 - ~ '/%Lx
SIGN OF PERSON FILING REPORT TELEPHONE DATE SIGNED

I AM FILING A lC / l 9 AY s REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .


(report date) Indicate by #0

Local Committees, enter Date of Election


[]CHECK IF AMENDMENT TO REPORT DATED

0 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 .)

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 .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~
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 . . . . . $ Ll L1
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . .
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S

"UNPAID BILLS (From Schedule D -Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ." ." . . . . . . . . ." . . . . . . . . . . .S


'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S

a
"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) S


- For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 07103) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Ct'J l }cal &212)] l


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 10 NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

FM
ff
ID# ri) TD C. Jf'L ~ /tO7 c' r Uf 7 QA
7) M $
CK# Cpl C .S4rf
/C/~ I(-,, c ki i I<-
ID#
Chirr SnC1~Ynrr5
CK# 1 SC-7.

ID#
pq r r rl ;~
iJ "rc k ~~ n PJ

CK# 3~

I D#
T
r3
CK# 357J
ID#

CK# ~~~ l7r~1C 0 ~/ jlr/

ID# eal'm .vrx Pr 1\ ( p, . .f-ell


CK# l5- 3~/~vt_ L
E~l
0
ID#
Re) -5 1 L/ ? ~ eg,7 n
CK# 9 12 ~r T, ~~~ P« _
-~~ S 3i G

- CK# n 1rSr r1 S~ ~ o
ID# 'RICk l_carkrl\ -
I "I F~J e ~ '
CK#

ID#
jt'rry Schu44=it-
CK# ~- ~Zd AUe
~- .2~ .-d 8' 13 _~; G~5b ~0
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) . tf surname 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 SCHEDULE

A I MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
LEF CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

L e- e- edt, z? ~v Do me - ra lip r / Co' fill r

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 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# arr~ l7C~l irrP

CK# 1 ~s l 300,3 rJ
61 171.3 - n 5
~ ~rrrrt' l-'"d.rry",I
CK#

,~lS~llcJhf~ Di.. ;lr ;


a
CK#

Cam; ,/~ rLrr~/lrI1cZ V, 71-IJll1


CK# r
l~ ~i Dr -narc~r .5 t-
~CJ
I / ~~ 1 I sa n J'~~:>7S
ID# y. 4,S
1
~r 1. `r c-

CK# l to n t ;4
67 - A-A_5
ID# l`~~ ~ .~r7nrt
!r ~
CK# . 25~ n)ed`/
a1 ~!-o 57

2:1
I D#
jr', r'~/ '4 lJ1 l ~i l\Y'_ K('cc r rrS
CK# yp r. Nr c Kz+ :y %r l r~ ~ .~
~-ay- a .5D
ID# r
l'lC1h

CK# x ;2Or)

CK# 1535'e
I=- L7J ~r,rj t .f C
`
CK# a S-,o
"Ailh
~-v t. , '
07-~ <d ;,
SUB-TOTAL

TOTAL (iflast 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
mamage) . If surname of contributor is the same as candidate, but there is no Page C~l of
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. 07103) RECEIPTS
llncluding candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization)  AMENDING FORM

STATE CANDIDATES NOTE . IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (PCLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED CCLUMN . A LIST CF !D NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BCARD.

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 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
~!tYr~, I C ~)u~~/~r lL
CK# .~ 7yl

ID#
h

ID#

CK# /4
xc

CK# 17 , -,
> '6 ~7

CK#

it AL L 11 ice , l~ A-
ID#

CK#

J!~ E' ~% ~~
St
CK#

ID# er
L

ID#
Lk 11- C,

CK# -L ~2_d v t'


9''50 ~ ~ 0 5~b51,
SUB-TOTAL

TOTAL (if last page of this schedule)

3
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribubon to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname 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 SCHEDULE
Reset Form
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07103) RECEIPTS
(Including candidate's personal funds)
'Q_CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

~Qt' CLtun ~rT-L1~ ~ L!YQ~ir l ~lltl~cl ~111 Pl


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 v IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DDNR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 7~ I'.i Y f- I-- hc~_ rct d e
cK# P V- I r C~-

I D#

CK# ~ _
S rr t!- ~4 L`l5
ID#
J f ~~ l r e 1Cc

-- L
CK# %~10/l l~v~

ID# UZ~ .C4 w R~ b~C-C-L

CK# lS -5- T- en 4
~5 r~- fr ,4 5 h? 9F
I D#

CK#
'
ID#

CK#

ID#

CK#

I D#

CK#

ID#

CK#

ID#

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
. If surname of contributor is the same as candidate, but there is no
manage) Page of
familial relationship, enter 'not applicable' in the relationship column . (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM Rrid fiqm SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev . 07103)
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 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
ID# (,{~ /-~~ S fa /
4 bye A/ $
CK#
7- ~v- 41,
ID#

CK Temi
7~~0 ay ~`J.~G7 ~~, lw- US
ID# .~~s t ~zl
Gd s

ID# KT
CK#
'd cp'~p 1i/Oi1IYD Sz
ID# a-f-- e
ue
,9
CK# l q o .S v

,'II .S 7 -~- o~ l
ID# eevk Dk- -T,- 1Pl1/ e~ i~ Y

CK# A6-~Y°r 61 Gs
ID# V itif [_. .~f h
I ~ i_ . 1i\Il S
C K#
7 Dc ~~ t~ z II ~~ c i, _5 k?-S T i *)L O f
d

ID# p L)

CK# Jc r c'~I - f~.~~ z t~ .r

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

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing $500 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 personlentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A.6(3)(i) .)

Page - / -_ of _.

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(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 & 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
(MMIDD/YR) AND PAC
CHECK
NUMBER
ID#
Cjle rV / Sc, ndrr5 Pcirad e 7Lcpr
1 50-~ t SIC rl-,
CK#

ID#

CK#

1D#

CK# C,

Met n L
d s
CK# Keck
>s k 5 a Y t~ c d tal/ry
1D#

CK#

1D#

CK#

ID#

CK#

ID#

C K#

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

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)

Expenditures to personsientities 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

a
Schedule G instructions and Iowa Code 68A.6(3)(i)-)

(for Schedule B)

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