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Disclosure Summary Page DR-2: For Office Comm - AI
Disclosure Summary Page DR-2: For Office Comm - AI
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.11 F ro . ~ 1- x005 Comm . AI
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IMPORTANT : Indicate by type of eomm ttee you are reporting fore
( 1 )Statewide/Legisiative/Judge Standing for Retention Candidate (2 )State PAC ( 3 )State Party Scanned
(4 )County Central Committee( 5 )County Candidate ( 8 )City Candidate ( ?)School
Board or Other
Computer
Political Subdivision Candidate (8 )County PAC (9 )City PAC (10 )SMoot Board or Other Political
SubdMslon PAC (11 ) Local Bal lot Isaue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (If applicable)
Late reports are subject to
possible civil and criminal
Office Sought District (if Senate or House) penalties .
e~&~
SSlaNATURE OF PE S N FIL
.2
l
.-'l7G-Ss
TELEPHONE
3? ?- 9-0 5-
DATE SIGNED
SUB-TOTAL . .. . . $ 4 12, ) SO . 00
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B ; Expenditures total (Attach Schedule B) ("also see debts and loans below) . , 6/1'5 a .
Schedule F Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . G
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3) . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . $ e 3 ~.
"UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . ., ., . ., . . , $ - I , 2 3 I
'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . ., . . . . . ., ., ., . . . . , . , $ J51 .0 0
*'OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . . ., . ., . . . . . ., . . . . ., . . . . . . . . . ., . ,$ - O
a_
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) ~_ YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H) $
U .S . DRNK ID :7124765715 JUL 07'05 10 :27 No .006 P .03
STATE CANDIDATES NOTE: IF A CONTRIBUTION 13 RECEIVED FROM ASTATE 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 68H .32A(6), Iowa Code, prohibits the use of Information copied from reports end statements for solIGUng 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/DDlYR) AND PAC CHECK (If applicable) RAISER
NUMBER INCOME
ID#
-6 1 05'
cK# Aj iA
Rac k rA s lays &A
ID# V a,._ Lei
cti 0- zte-
CK# N' o ju siaq) N/~ ;z5-C), uo
I D#
PfCtn " cr ~u.~I(.
CK# r3ed-
Tt~ S i~ y~ /(J/ ~ S`oo . no
ID#
Gr~~ 7; t+VG1~rw
d
I SlQV7
ID#
II I ~w..k
CK#)V/ 4 k ll ~, Is ,4)
o (a- 10- 11 c OD
I D#
CKU /q 8~z L. lc Qr
06 ./s -Oz X-
ID#
C
-/i .-ate CK#,v)
Pt U^ Sl v~ aSo, 00
ID# k t'%cCG~ `I 1
/ ~.-I,. S,i,
0~e . l6-ai CKN /67/
_ J
1 ~" 5-JA y -2
'~lOO. 00
IDt!
O 4- /t- a
;-
'K#4/0 .x
~t o~,Jc ~0. oo El
1)14 -
ID# 5 Jv t.-+. \cr- . .l
e., CII
(p- /(,-o CK# ICI I I I- F~k v c
.vu
60o
PLAL
SUB-TOTAL
k 00Z" V"a-" .x
14
a oo C
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: Suction 68B.32A(B), Iowa Code, prohibits the use of Information oopled from reports and statements for soliciting contributions or
for any commercial purpose by any person other then statutory political committees.
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT .J IF FOR
RECEIVED (If applicable) TO CANDIDATE' RECEIVED FUND-
(MMiDDfYR) AND PAC CHECK Of applicable) RAISER
NUMBER INCOME
(~~-~ I-OS
CK# /ij A aoa
0
oc .
ION
CK#
ID#
CK#
CK#
1011
CK#
ID#
CK#
ION
CK#
CK#
ION
CK#
ION -
CKt1
SUB-TOTAL
Disclosure law requires cerndidete committees to disclose the relationship of any reletlve making a contribution to the
a. Of
committee. Relationship must be shown to the third degree of coneangulnlty (blood relatives) and affinity (relativee
by
marriage) . Ir surname of contributor is the same ascandidete, but there is no ~.
Page __
familial relationship, enter-not applicable" In the relationship column .
(or Schedule A)
U .S . ERRNK ID :7124765715 JUG 07'05 10 :28 No .006 P .05
koc.k O a 00-,r_
CANUIUA16 NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (Ir applicable) (Disbursement) WAS MADE
(MMIODIYR) AND PAC
CHECK
NUMBER
I D#
I D#
Rock le a fee d
1 Ny ~ ~~
sar~4~
CK# boo D Paa A`
b9-es-6s o~)~ rlaSlav~ Sl~6 .1/9
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL
TOTAL (Iflast page of this schedule)
Purchases of certaln campaign proparV costing $500 or more mustalso be Inventorled on Schedule H . (Refer to Schedule H Inslluclions .)
Expenditures to persons/entities providing consulting, advertIslng, fund-raising, polling, managing organizing services must also be detail Ilemlzed on
Schedule G by the amount, purpose, and date of each type of expenditure made by the personlentily on behalf of the candidate's committee. (Refer to
Schedule G Instructions end Iowa Code 68A.402(3)(I) .)
Page ---J--. , of I-
(for Schedule B)
U .S . HANK ID :7124765715 JUL 07'05 1C :28 Nc .006 p .06
I
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
D INCURRED
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 08108) INDEBTEDNESS
Pr
.~rXHJ
O ~_~_ 0S JOO~1
S, '1p 1 G , ~ ~ J J a~ ~ "I ~1 ~a a
SUB-TOTAL $
1,~3 i,GG
TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD i
-If actual figure Is unknown, show "estimated" beside the figure. Page I of (
(for Schedule 0)
El
(MMIODIYR) OF CONTRIBUTOR ' it applicable) CONTRIBUTION VALUE CONTRIBUTION
s
Tec ~,, v,._ F.1_ c s,.-
.2433 Etiv.y .uJ. A .j c LJ ¢YaS b er
~) I .~fS"
!. . rA C 047 -1 -
9N . ..k-~,L nic
t9G-~~. oS / .l7 . !O
k rA S- I
o~-~-ns
71
a
0
a
E:1
0
SUB-TOTAL
0
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
committee . Reletlonahip 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 la the same as candidate, but there Is no
familial relationsNp, enter "not applicable" In the relationship column .