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
CITIZENS TO KEEP THE COMMISSION Comm . # ,/-
IMPORTANT: Indicate by # type of committee you are reporting for : 11 Logged In
( 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 ) k
Subdivision PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY : F
Candidate Name - P41itical Party (if applicable)
Late reports are subject to
possible civil and criminal
Office Sought DiSbrict (if Senate or House) penalties .

. _'" L' JCL %z

SIGNATURE OF PERSffN FILING REPORT TELEPHONE DATE SIGNED

Five Days Prior to Election

I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by #

Local Committees, enter Date of Election

OCHECK IF AMENDMENT TO REPORT DATED
June 14, 2005
County & Local Committees, enter County in
F~ 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 DR-3 is filed .) Linn

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) . . . . . . . . . . 12,412 .00
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,600 .00,'

Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -0-

(Schedule H applies to Candidates' Committees Only)

SUB-TOTAL . . . . . $ 14,012 .00
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . 13,058 .85
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CASH ON HAND at the end of this reporting period (if final report balance must
953 .15
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

"*UNPAID BILLS (From Schedule D -Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,544 .60

*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 142 .00
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,600 .00-

CANDIDATE COMMITTEES ONLY :

CONSULTANT BREAKDOWN (Schedule G Attached?) NO

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

For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
Q 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 (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#

CK# 4{O& !
f !Y/CCUXl f71i'LL .~~

101714j CK#
.s"ac/0 3~
ID# CONlil t6 C~lr/`a /Q
K ,X 7 df CK#
/G 8' 40 C.-_ U ft i,

C'Ct~9-~ SAP% 0S r/4

ID#

CK#
/N r711r /Z eb

yrJ <o oS <'O6-- AO /Ul.C1 /

ryar
oz--r
~/ CK#
('g 0 A 2 /Pl~p~G~ s ~-~
ID# Mc jcwSs
Gv4 y FNL~'LE
CK#
ow "? .P /
ID# ~tiA~n~ ~oRRlS
40
CK# 500
AXRlc'ti t7,4 S ~a Z
_ ID# ('f1 ,494a772: /1-rvXX i
L/.1'r Z 6, ~fi S/DE S O
CK# S

I D# f~v,v,I h I) ,C)FL, f~NF~

A&," s 1?-D
CK# .5lIiJ -~
C,,cDfIL 0e0S, -.TX
l\ l*, f ,-7 1/0
ID#
"rf ,.-
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
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
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

( r rl Z t nr s 7b A ff P THE ~OYv+ tNt t S S io 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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#

CK#
/_ l'1 xE /li9vA S tJ t'" fT~ ~ Z ~~°ryQ r~
ID#
!!Ni TF l Z~
es CK#

ID# tf ,4s> rey HST' ~~

CK#
414 1W T':M'1 / 2 Ar

_ ID# /4 G 131, y 77,''E

302 .;- ARRKv/EW c1- SE
' CK#
Ca'm e A Pt DS _"A r2 f
ID# ,o4 w e.w-'rZ ITz
°% CK# /Q Lo E.4 srf'CA/ 00C $F 900
,7-Yo
44AlwS r4 s
ID# ?Awe'Ot Coosa
41-e Sr Co ?o ~00?c
f A~ A-r7.r,j
70
.",4 S-Z z s t?
C

ID# CUx'r ClAArtV S

G Hv I1ePte+w L~V~j
/4 A At nv, xo4 t-rd '2.
ID#
CK# l/N l rf~1,t 7. Cr D 2.~

ID#

CK# _60
fFros 1~ s yo y
ID# q5, 2-1--IL-11- l
T/y''l- .C
57 .-
CK#
CEOrt2 ~~R~^ t dS ~~ S;zYof
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) . If surname of contributor is the same as candidate, but there is no Page Z 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 . 07/03) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

'
l'/Ti 2 :r"' S
7a ASS- m ~a u-u rs~a:-`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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
it 700A A H ^W< 7R S 46- $
CK#
CgOy4XL lfAPrp5 7-1f -f~Z~V37
ID#
S 3
_~ CK#
Xourx:~r
i.S7 3 i OG-~,TU~ r~z
C1
S r , !r-2-3 3'
ID# ;jvnw - . /NC OF-w m Kc.uI2~

C-2 014"t XAPI P.S

ID# ,L~ y-p ~r 'wc

CK#

Co ~~' CK#
-11-
ID#

or szzt'3
CK#

ID#
CK#
s7' STSw ~D
~b r/-); .~~ S .2yU5'
ID# S r~'V ~C ~'S l~Sd L
/E~ ~7LUC>,'E,C
CK# tiVU cj

ID#
'C2cJrrf ' ~E
CK# 2-23 7
X-) C Ot n ' /1P~ b S l3` ~o~5d
_ ID# (f L, 1,7
E 11A L& t
419 /Vi
CK# S- d/ Sq _
z /1Pn ;1~ P1p S ,2/4 .5~ //
SUB-TOTAL $ ._
280
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) . 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
Re9~i ~q
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including 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 (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 4 IF FOR
RECEIVED (ifapplicable) TO CANDIDATE* RECEIVED FUND-
(MM/DDNR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D# r'f~ /3 iJOF~'

rr~~ -7 .9 s1 ;o
/UO
ID# ~l-Lricr t/fr+° N.,:57 Lc/?
CK#
Ol ..-

3~,~%
cK# OCJ
c- oPAAL ~S ,Zfr ~v js
ID# E'U/..~f -.-

CK#

_ ID
CK# 2- 7 ~L v t /t'~r2' z. C' T
`US'
.SGr/lS /~l5 i2
ID# l-{~1~ G= S Cr-f z~ 2

Din AO 1/17 .5
ID# ,Fjdr%~ ~o~NS'TT=c,'~ irlG~ylJ
-
, ~f' CK#
ID# ,/S 1~eie..< c~nwt /~rO by
f~Z-~~ CK#
Z f~ hr/JS .52 L16
ID#

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) . If sumame of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for ScheduleA)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including 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 (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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# /,"fz--,6;'

CK#

~L us CK#
GL , 7'7'2-
IN T

ID# F-
CK# /6z) ,.
ID# J~ ~F /vlO if.~ UL,tJ

C S

/ CK#

S CK# 3 -716
"Iello --1rT~~-~-
~" 2112
ID# leci~f+~' T
CK# 3SZ f'q PK 7-1A-- SC n
00
IN
'~ CK#

ID# (T- c. c-cv~lCltz2^.~

CK#
d~
CS 0,04K l~ ~~s :Try s .~ mar'
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) . ofIf surname of contributor is the same as candidate, but there is no Page - _~
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form
I
SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organi . ition) AMENDING FORM

C17 1'Z 111-5 7,59 s~~ %Tr pyvr~ctlSS~4~J

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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM1DDlYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
X21 iC11^~ ~L-LJi7 $
yl0
CK#
O
/1~P~aYV /F .. Z °a L
I D#

C K#

I D#

C K#

I D#

C K#

I D#

CK#

I D#

C K#

I D#

CK#

I D#

C K#

ID#

C K#

I D#

C 1K#

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
marriage) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
B
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. 07/03) I 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)

S 7 s~,- T (~,kl wr/Xsor.J

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# ( ~<t%V Gc~< S<v ~~ ~~ ~tiL

CK# <toy G-K2FAiw"'s pses r

C yo 3 *,e rmm '
ID# .~ JR v y
~F/_ ~~ ~z
oY ~CFt`rrlcvavh S6
CK#
G lel OvU . vo
7( /.! L 7-
ID# r4-oe~w ~~ AiAJ5P~fu3 %
3v z 3~p ~~~ S~
CK#
aPA? _Aw!as_rw rx10 4
AF, tFir

mv 0ebyr l*6W V,_ ACSr (

X10? G~jj u vave~ D4- .rE
CK# /oao_ a d

x
cK 7-4 s-.~?YO 3 ,
erg
'r t r ly 46
'w Lc. 'n ~s
CK#
C!L % -na 500 ,7 " /1-/ T111
Y 7
ID# C'LFDiQR ~fgPrps l Zt.Tl'z
1- 'wSr/2
CK#

ID# DeN Cc' <~S<~ *677W1,- &~~

~ /oa
CK# g2p. Cr d
(nN-K-T" ~ /fit
ID# ~ v lrl
02l ofr' G~'sf.:~~cv G~-S ~
CK# 3.s-d .oa

SUB-TOTAL $ 7 Qb ~ 3
IT
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 persons/entities 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

r
Schedule G instructions and Iowa Code 68A.402(3)(i) .)
Z
Page of

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM ReSCC Forn
SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev . 07/03)
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)

GO T7 5w~ j g~ ~/~l I >U

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# ~'/Gicn1 S 17~-

*2 1,9

I D# X,~-n w 7- v ~vs
CK#

ID#

CK#
2.v
o p ~z CJ ~ S 7r 5L `lf'G.~(/r5 lur- l~f-vS 11 y~J
0 -0 A-& l9APlojl;~ 3X-03
ID# co vt^
E1~i
CK#
w' t oro-~ r~"4PlnS .T.4,~YU~
ID#
ZS 7-
CK#
CEPS- ~ !05 moo'
1D# CG 114164 ic/.e X. S
In,,}z L l /lJ~..
CK# ~ D
rfnr~~ ~u~ s T s

CK# 2~ s~ h~.sz.J
C! 0F3vL R,4~.~r,os R ,S;Z4/O
ID#

CK#

SUB-TOTAL $
5-yy~lS
TOTAL (if last page of this schedule) $~
3 OS~. ~S

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/entities 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 68A.402(3)(i) .)

Page Z of

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
D INCURRED
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 08/98)1 INDEBTEDNESS

Crtt Lsivs 7o /sue° vafMiss<o ._O' CHECK THIS BOX

IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this FORM
Schedule, as well as any new obligations incurred in this perio~_

An "incurred debt" is a debt for

DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
received, but not paid for by the
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) end of the reporting period .,
regardless of whether an invoice
has been received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MM/DD/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD*

Sll~s ~~- ~. D s iF-ws $

1~ Zox_
(S/ /Ill GIKST AvE NE
31 OYY - 6
Yo

I1? AR G-E bream (r

S'33 .f AVArIVIDI4 DE Vfs'ARfco O,GO
ynote,4 W^"DA, CIA y2p't7
(sues e-aN7Rr1-c74'A*.

SUB-TOTAL $

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

*If actual figure is unknown, show "estimated" beside the figure . Page / of _/
(for Schedule D)

CANDIDATE COMMITTEES NOTE :

*Incurred indebtedness also includes each person/entity with whom the candidate's committee has entered into a contract during the reporting period for future
or continuing performance . Enter the name of the consultant who provides or procures services for items such as advertising, fund-raising, polling, managing, or
organizing services. Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant .
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN-KIND

7
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06/97)1 CONTRIBUTIONS
0 Tlzc rvs ~ 9 v° /-Wt ` is
0 CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED J IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MM/DD/YR) OF CONTRIBUTOR ' (if applicable) CONTRIBUTION VALUE CONTRIBUTION
L-i a6-lE /Ad ~r~ F" R $
xocc ai o~ oeir ~t,/w

i 40m or 7;0 rx 1'rx --

f
E:1
R,41~ON 0AAnTEtt

"pd"
yoG9 /tetCKait .L
y NBA
Ap4Pl Gs .T14 S""( yo3
An. SAE /forwr
NEws COKX
C6,.4 tk
F7
Cffrv .V IE
//
0j /00 4ockU4«q, sw VWTOL
2z --
lP~i ~s .~i s''~Ya y
urns NrJE CC-AR C
r`~r ror Anc^ vA K "-y4jrw
CA- x .4 S-A oy
srl~ /~S
37 F
rd /V iv i O' C " otit
3 7 .-
Id p-
C& r .4

71.
71
F-1
F7

TOTAL (if last

page of this
schedule)

'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page / of
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage) . (See Page 2 of forms packet .) If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE

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

(Rev . 07/03) RECEIVED
REPAID
Cf 7-1 tr/c r /v tz/a //1~ SSl0 r~

NOTE: This schedule reports money loaned to the committee which is deposited in the committee account. CI CHECK THIS BOX IF
AMENDING FORM
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD $

PART I - MONETARY LOANS RECEIVED THIS REPORTING PERIOD PART 11 - MONETARY LOAN REPAYMENTS MADE THIS REPORTING PERIOD
(Original source of loan, such as a bank, must be shown if a thirdparty is (Loans forgiven must be reported on Schedule E -- In-kind Contributions.)
involved. Include loans from candidate's personal funds.)
DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT DATE PAID NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT
RECEIVED (Include Endorser's Name, If Applicable) TO CANDIDATE OF LOAN (MM/DD/YR) (Include Endorser's Name, If Applicable) TO CANDIDATE* REPAID
MM/DD/YR If A licable* If A licable

lel

C.`z0~ ~1? i OS ~/~

S%Yd~
~'~+~ ,~ s S~rrL ~2

.~ Yd
~~U rs L- ~ OG-~

C~p~ /'~r4olDS .Z~A

TOTAL (PART I) TOTAL CASH REPAYMENTS (PART11)

From Schedule E -- TOTAL LOANS FORGIVEN

TOTAL OUTSTANDING LOANS END OF REPORT PERIOD

*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). If surname of contributor is
the same as candidate, but there is no familial relationship, enter "not applicable" in the
relationship column when it applies . Page of /
(for Schedule F)