FOR INSTRUCTIONS, SEE BACK OF FORM

Reset Form FORM I

DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2004) REPORT

'50NWLs N©W x005 For Office Use Only

Comm . # -2 /3JCI
IMPORTANT: Indicate by # type of committee you are reporting for: 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
Subdivision PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY:
Candidate Name 'JUL Political Party (if applicable)
Z Late reports are subject to
possible civil and criminal
Office Sought - District (if Senate or House) penalties.

'7/Z-Z-7-7-66 _Yv 26 0
IGNATURE OF PERSON FILING REPORT TELEPHONE DA SIGNED!

(VAPORT
I AM FILING A a i l`of- G- FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by #

Local Committees, enter Date of Election

L]CHECK IF AMENDMENT TO REPORT DATED
el
Z loS
County & L cal C mittees, enter County in
E] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 .
which Election is
(You must continue to file reports until a DR-3 is filed .)
i-o* 4rv

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.) . .. . ... .. ... .. . .. ... .. . .. ... .. ... .$ C3 - o0
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below) .... ... . .. Q 6,'~D 6
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 .....$
@IQ 4 6-
j Is
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . \c' ,,S6a .3'j
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) . .. ... .. . .. ... .. ... .. . .. ... .. . .. . .. .. . .. . .. ... .. ... ... .. ... ... .. . .. .. . .. . .. . . . .. . .. . . . ... .. . .. ... .. . .. ... . $

**UNPAID BILLS (From Schedule D -Attach Schedule D) . . .. . .. ... ... .. . .. .. . .. ... .. . .. ... . .. .. . .. . . . ... ... .. ... .. . .. ... .$ t-mod

"IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ... ..... ... . . ... . .. .. . ... .. . .. ... .. . .. ... .. ... . $ y.g~9 . as
**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) $
 For Instructions, See Back of Form
Reset Form SCHEDULE
CONTRIBUTIONS -- MONEY TAKEN IN A I MONETARY
(Including candidate's personal funds) (Rev . 07/03) RECEIPTS

CHECK THIS BOX IF

COMMITTEE NAME (Must be same as on Statement of Ofganization) AMENDING FORM
SctAoo~~ NovJ aw5

STATE CANDIDATES NOTE : IF ACONTRIBUTION 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-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER
INCOME
ID#
x _ 3 _ 05 S ec.u.a.~ ~y Nc>.~rcot~ ~ ~K
CK# 1'o ?S0X \4 -l,ln0\ ~\iCccc bt . $ a-,Ob~
Sic < Sl 0
ID#
Fast ~rde.~o,9,
(0-'018 -05
CK# P. o . QoX 89 -I , aa9 ~ietce 5~,, a,O~O
S X ' ~A S110a
IN V,1woe.tt Coe ,
% ,coo
~oXX
Z~~ C~ z~ 51101
ID#
Sot+N G\e.e-bor
`1-t 8'05 cK# Re& 8va5 t-
15$ tom. it . 500
~+o~.x C~ zA Sllo4
ID#

-I-va -05 CK#

,, W~-XK
PboX BF~GO
C-0lr'-A , TP . s~tioa
X00
E:1
ID# gio" ci BPuo, +Tl,
-1 - 8 -0 5 CK# ? .0 . fox ~-1 , 3\0 5 . ~ra gwd. 350

~ccw~lc G. '~R s\\o ~ a

ID#
?N N
-J-a~-o5 DK# .'o~~~,x C3
z~1,4 d r~rvo<u;.o. .. '500
g~u'wtf. ,Ta s\\o1
ID#
(0-14 -05 CK# 835 '° ^ QR . 50
bi ov.~C ~,~ , =A St\O \
ID#
We1~s Fi~c o aont<
t1-it3-05 P.o . gox 808, ~o0 4~5A,. x,000
CK#
~iOUA G; =A S \\o q
ID#
QW Suk4 .t:.+, .
CK# %800 \\k-,D- 500
OCA o z-A 'S \\o \
SUB-TOTAL $ C1,860

TOTAL (fflast 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 contributoris the same as candidate, butthere is no
manage)
Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
 For Instructions, See Back of Form
SCHEDULE
Reset Form
CONTRIBUTIONS -- MONEY TAKEN IN A I MONETARY
(Including candidate's personal funds) (Rev . 07/03) RECEIPTS

CHECK THIS BOX IF

COMMITTEE NAME (Must be same as on Statement of Organization)
AMENDING FORM
S c.t-~oot_-'s. NG\.t O'1005

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICSIDENTIFICATION
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# PtZ~nce_ tilcunu"~csc~v.~c~
1-~~-05 ~~ .~~ ~ooc> sofa hn .
CK#
Noekh Stov x Ci~ , 5~ b"1b45
~COnocR BANK ~e.~~
ID#
(0-14-oS CK# ao a 1 . st. . oi 60
ort~ ~~uF~ iq s~o54
ID#
'FE A RssOC.~e eS
(v - 1 4-a5 CK# -l o\ t? ;Q c ct lot sw3~e, 1oa
Siovat, U , ZA 5110
IN Sk1e .M Mc,, e rn~nt =~c.. .
CK# PV fox 31atj acdo
~cov.,X G =~ sti~,oa

b x
IN
olnv
5b'7 a~ .Cn~
CP -0 -06 CK#
~< ouZt Ct~. _ ~ s 1tio ~
o a,ooo
I D#
8-05
o'f \ ?t r-OJ~r.k
.w% Z041t6- b .415
CK# kooo
%i owx G , 2A 51101
ID# r~< Connce W~~~~M.rg
Sc, 5 s~ . a o
CIA#
Sioux Ci , 2F1 Sllo 1
IN
Le f~'R.or,d and Co .
to -a3_o5 (a~- .
CK# V,O . (box 501 ) soo goo
S%oux Ct~. =ar sttoa
IN
P,C~-%km b R.S PrbaOc.
CK# gv3 ~tA S~G . o7rO0p
bcov..x C.i , sa 5 ~~oa
ID#
X391 Two 'ZNe.RspR,
CK# a~
`O PoWtN ouw Its) a 4 5 -104 ~1

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) . Ifofsumame of oontributor is the same as candidate, but there is no Page Q
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
 For Instructions, See Back of Form
SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A I MONETARY

(Including candidate's personal funds) (Rev . 07/03) RECEIPTS

CHECK THIS BOX IF

COMMITTEE NAME (Must be same as on Statement of Organization)
AMENDING FORM
ScKoo~,S NO~J &OO5

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICSIDENTIFICATION
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# 'Rnvsc.\n~R ins, .
po,~f,~,
-a1-05 CK# PD. a0K MoD ia~
M,%hn olds , Mt~1 5s4,4C7
$ 0
I D# ~t'~et2-t CRN oQ Co Qt\.
(0-3-05 CK#
a00
S~o ,c L~~ ,i(~! 51~oa

Lj
ID#
CYleb~mgt~S
-7-8-C6 two Qso x 3Ut'7 000
511o a
CK#
SZ owc Cx" ,=A
Sterns
El
lD#
C~~~ S CO .
~-a3-os CK# ado
%W\," GA-4,=A1
-7- I&C6
ID#
lrzea }~. O.Ue ufiL~
r casKa. . sv.~}-c, a33
CK# 15&0 ~O C~
bwvx C~~y, =A, $1101
ID# N eu.mo- `~~~ o n 'W ~c}o ct
CK# ~ k t~ o~00
scovx ca ,zr~ s~tul 0
iD#
~7-10-05 5t1~-te t~tee.l
CK# btt4 CoWOr- bt . 1,000
boo" Ca _~ S 11 Q1
ID# C,hP_rs tlahst,n Can~}~.uc . 'bN
P .o . ao x g~
CK# 600
~ iov..x Gay, TA ~ 11oa
ID#
(o-14 -0S cK# 1a X50 El
~ ; wic ~ _=~ stNOS
ID# Krd NMtt; Rt61t9-cpv`
~_ to -05 . St -
4-c~ 1 AGUE
CK# a ,ooo E:11
zA 51101
SUB-TOTAL

TOTAL (ff 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) . Ifofsurname of contributor is the same as candidate, but there is no Page 3
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
Reset Form

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(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
-S C"0ots Now 5005
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-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# l, on~on~ \,.ir1tS
CK# 501 t s~

N6kvmo, awm«
t, -a8~6 CK#
\\o \
ago
ID#
ior~<
CK# ~Saoo c-~~ ~-pe o~ (~~
ectnnuK ,z A s\lo \
ID# ~eR
~G k
-j 5-bS CK#
SciawX C~! ~- 5 D
I D# u ~
CCt1~R.G9.-
-7-to -05 CK# saa 4' - s~ ado
zR S\\0 1
ID#

CK#

ID#
CK#

ID#

CK#

ID#

CK#

CK#

SUB-TOTAL

TOTAL (lflast page ofthis 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 Reset Form 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
ETHICS & CAMPAIGN DISCLOSURE BOARD.
IOWA AMENDING FORM

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

dscKlt)ous Mow C9 005

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDIYR) AND PAC
CHECK
NUMBER
ID# so"kma ChO~r~be.R
-1
(o -- 05
CK#
w\ ~imcc ~
. SRI a'ncl `~h~nc $
-I8U
43
SwVA CG~ , 5~LU1
ID# MOZL Aav." \n-,
P .o .Rdx tilo5 `1~os
CK#
'blwkX TA s t\o a lo01'7.1~4

ID biowX
La~3-c6 CK# 5I'~ 1~ov ocu,o. S~ . A&q~-Q. O1
Sc w nc G; ,zA, 51 01
ID#
SiCV~C~~ C,~RCrr+~be.Q
Sk~t~-~ oc~b ~~c\Oa~ 1,-13~'~~
CK# w\ 1~1etLC ~~
st cruM C~ky, S.Pr 5\~01
ID#
N~o~ Elaine 1nt .
-7'S-b5 t\b5 ~os~R~e
CK# o790,1oo
'S 16Wc C;, , za 5\\~ e
ID# scM.1-K UV v Zl)UQn
~dveQ~cs~Ng 3,s44-CA
-1--1o-b5 CK# sl3 ?avo~c~ St .
s~ cum ci = s%1o\
S) R
ID# 12000~ WmAtn ~~
-7-18-05 CK# 1~1Z Vi11o.0,.Ve- . 'Iwo S16TLS X04 .30
Stcrwx Uk+6,=LF! 31103
ID# 5\0PtVJ SLtq_ltA:,
' .0 'boy, 330 t,) &I
CK# 80?-00
W`c~:~ ,a-A 5\ob3

SUB-TOTAL $ $.tool
TOTAL (iflast 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
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. itemized on
Schedule G instructions and Iowa Code 68A.402(3)(i) .) (Refer to

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. 07/03) 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)

Sc-rwo~5 too W a 005

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# What, sk o" Neun
?.o - %0X a9c~ $ CIZ. .o0
CK#
PtfW(W tl, =!a 5tM 4
ID# ~o~y , ' ecoacl

CK# V -~~tN~ 1CYJ,00

McvctIc,T.~. Ss1v39
ID# A~,vou~
StQAQAnt
~1-a 0 10 CK# ,00
unt ,I~ Sio~4
ID#
god *S\Xsc tnt` .
P.0 - (box kw5
~bsk ~e-
SS
CK#
a,~dWX G~~rzA 51.0 a 1,114

ID#

CK#

ID#

CK#

I D#

CK#

I D#

CK#

SUB-TOTAL $ 1,9150 :58

TOTAL (If last page of this schedule) $ 10,55 a , 3$

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 vZ of a

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
D I INCURRED
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 08/98) INDEBTEDNESS
S ct\00~s rJow 61005
CHECK THIS BOX
IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this Reset Form FORM
Schedule, as well as any new obligations incurred in this period .

An "incurred debt" is a debt for

DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDULE F) received, but not paid for by the
end of the reporting period .,
regardless of whether an invoice
has been received .
DATE DESCRIPTION OF GOODS OR 13ALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MMIDDNR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD*

to .1,6S _ zi C~Ray $
~.~taav s~t,~'~, ( Cor~~urcir~
380 occhaQ ;1 ~oo~.cts R. 3, 00
~1da-65 5wwy, ~.;y.~,,zla $«04

-l-1 I-05 464-1 sAoow-r- Hoe . --4v .eo

SIOWX U~,SA a1lOa ~cs~tmc ~
Gh~aese %rr" food ~OLThone zom'5
-t I-d5 qcx5~ 4 k, s~ . Tt 0 .00
~t ctk,~,~a 5~~0~
Rh~etrno~ ~oc~. .~ ~ ~hst~Q,on~s
~- ll-oS 331`1 l~c~dvn~aaod S-1= I g .do
!~) `ctWX Ci ~ zA 51104

SUB-TOTAL $

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

3,1o'~
*If actual figure is unknown, show "estimated" beside the figure . Page k _I
of
(for Schedule D)

CANDIDATE COMIMIITTEES NOTE :

*Incurred indebtedness also includes each personfentity 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

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

E IN-KIND
(Rev . 06/97)1 CONTRIBUTIONS
~ c.~,oo~S N ov~1 a0o5
CHECK THIS BOX IF
AMENDING FORM
Reset Form

DATE RELATIONSHIP DESCRIPTION ESTIMATED J IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MM/DDIYR) OF CONTRIBUTOR ' (if applicable) CONTRIBUTION VALUE CONTRIBUTION
-1(0-05 SAG" '
51'~ ~owo ' b~ . MVee-~sw ~, boo
S~CSU.lX G , 'IA 511b a

0 ;IkbaA-ads -~ ~8os 0
S~ w"nc ~q s ~w a
Qe,t\kcn~
eo-11o-05 P.O . P,,ox 3a b, 3xy
S~crwX G-}-~,zA
glu'F~ st
5\1p~
Sa~. .O~
F-1
V,,cv~~¢cl 12eo~.. ~clre... hrr\~ne.
- 1-ll - O~83'S G~aedor '~u .
StcswX, G. ,zA 51toa f~anKS
NW ~owc_. ~ed~.0
5-11-05 \Ocs~c¢r cW\s h6A
.
I Cop` .1tcS / - 7 .aa 0
. o I~OR,ni SC'C1!
1 ,69c>
m A~1C\. t in S

F7

F7
F-1
SUB-TOTAL

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 . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives Page 1 of
(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.