04/01/21 005 13 :13 7125584175 UNITED BANK OF IOWA PA(5E 03/03

FOR INSTRUCTIONS, SEE BACK OF FORM FORM c

DISCLOSURE SUMMARY PACE DR-2
I
DISCLOSURE

COMMITTEE NAME (Must be same as on ate s t of Organization) (Rev . 07/2003) REPORT

Co ct ~cell" T~o~w l-e~~? .Gt~~~2~.rn~ For Ofncs Uu Only

Comm . 0 L121J11
IMPORTANT; Indicate type of commlrfe you are reporting for,
in
( 1 )Stetowido/Lsgistative Candidate (2 )Statewide PAC (9 )State Party (4 )Countyllowl Candidate Scanned
( 5 )County PAC ( tt )Ballot I"us/Franahlse Committee (7 )County/City Central Committee
(8)Suppo rt Siato of Candidates Computer
CANDIDATE COMMITTEES : ONLY : Audited -
Candidate Name ,Political Party

OHlce Sought v District (If Senate or House)

0141,
SIGNATUR OF TREASURE
.
(or person filing this report)
7)a -~ ~s-
TELEPHONE
`Ye-o
Late flied reports are subject to possible civil and criminal penalties.
SEE I-
NST_R YC_
I AM FILING A / ~- SPORT FOR ANIA (1) ELECTION I(2)NON-ELECTION YEAR .
(report date)
Indicate one
Local Comml sea, enter Date of Election
[]CHECK IF AMENDMENT TO REPORT DATED
- 3J VC 5-
County 8 Local Committees, enter County In
whITIM
0 Check 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 flied .) I h I~"'UI' C

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period, (This Is the total of all monles held .;f
by the committee, This amount MUST be the earns as the cash on hand at the end q
of the lest 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)  .  , . .  Q ,So (
Schedule F : Loans Received total (Attach Schedule F) ., ., . . . . . ., . .,. . . . .  .  , .  , .  . 
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . ., . . . . . ., . . ., .  .  ., .  _-_-
(3ghedule M sppiles to Candidates' Committees Only)
9U13-TOTAL  , $ ,
SUBTRACT TOTAL MONEY SPENT THIS PERIOD /
Schedule B : Expenditures tottil (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 rI
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 t3 Attached?)
vALUE OF CAMPAIGN PROPERTY (From Schedule N - Attach Schedule H) $
134/01/2005 13 :13 7125504175 UNITED EANK OF IOWA PAGE 01/03

For Instructions, See Back of Form

A I MONETARY
CONTRIOU11ONS -- MONEY TAKEN IN (Rev . 0W03) RECEIPTS
(Including oandldate'a personal funds)
0 CHECK THIS BOX IF
COMMITTEE NAME (Must be some as on Statement of Organization) AMENDING FORM

Coo P ~~,9 ?ia FOK 1141La'COJ COMM1 T1Erg`

STATE CANDIDATE& 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(S), Iowa Code, prohlbita the use of Information copled 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-
(MM/DD/YR) AND PAC CHECK (II applicable) RAISER
NUMBER INCOME
IDq
15

ID# K~?t!T L,4NS .7-Al K

/,9, 8 OS CK# ,~ 790 ~v
/r?~f NILE A ~ ,9 5i s `~
IDN AAJ G-I,IST~4~SOIV
'410 611~
Klxa lv =t_-,4 - 1 z1413

D~ ZsalV 1"9 5! ~-Iya

ID# A- 1 AA1 (-_
7usi,9. fsa N
3b/05 CK# 10s4 :) _? o -`*
S7, - ,
KzRo ti z lf 5)4-V8>'
I Ott
A ,1 /,g A/G" a s 74 ~sa

160S CKO ldSE -) - Q ". S'T.

7.iPaAJ _74 Siyg3'
ID#

CK#

ID#

CK#

I D#

CK#

ID#

CK#

SUB-TOTAL

TOTAL (Iflast pose of this schedule)

~9_
' Dlsclosuro low requires candidate committees to dispose the relallonshlp Sa6
of any relative making a oontrIbutlon to the
oommitt" . Reletlenshlp must be shown to the third degree of coneenguiNty (blood relstives)
and sMnlty (relefves by
, rrlege) . H surname of contributor Is the same as candidate, but there Is no
familial
no relationship, snter'not applicable' in the relationship column . Pogo of
(for Schedule A)
 134/01/2885 13 :13 7125584175 UrII7ED BAt4' OF 10AA PAGE 02/03

FOR INSTRUCTIONS, SEE BACK OF FORM 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 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 Statem

/ e~t of Organization)

Co ci c'S~r ~21rw
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
10#
0 /~ l L (-~~ S Cc lf) L r 1 ~2
CK#
$ fC1Or~
_ ID#
uL 02R
CK# C906 `"cJ
d
ID#
C ~1!)tw'6L
S
CK#
7U
ID#
MO1-L ~~U~S~C ln(3~rLr~,~ lv s '
CK#

ID#

CK# ~hovo~ r3 11 d
ID#

CK#

I D#

CK#

I D#

CK#

SUB-TOTAL $ 3. y
3
TOTAL (if last page of this schedule) $3 2 l

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 persons/entitles 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
Schedule G instructions and Iowa Code 56 .6(3)(i) .)

Page of

(for Schedule B)