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Disclosure Summary Page DR-2 I: Zooms
Disclosure Summary Page DR-2 I: Zooms
Disclosure law requires candidatecommttees todisclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree ofconsanguinity (blood relatives) end aMnity (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 chedule A
DEC 20 2005 9-29RM HP LRSERJET 3200 p. 4
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FOR INSTRUCTIONS, SEE BACK OF FORM 1 ~, SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev .0T/03) I EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICAT10N NUMBER IN THE DESIGNATED COLUMN AND THE D 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 .
0 iT I zLA)--L, -7D~-
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED Cdapplicable) (Disbursement) WAS MADE
(MMIDDIYR) AND PAC
CHECK
NUMBER
ID# -n'Ic : OA, L-j A.;OJ AE-w-&
gal I- CK# 7
CK#
SUB-TOTAL $ .?o?l
y,b.~'
TOTAL (If fast page of this schedule) i ~. ,
$,O?g
Purchases of certain campaign property costing $500 Or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)
Expendtttums to persons/entities providing consulting, advertising, fundraising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type ofaxpenditure made by the person/entity on behalf Df the candidate's committee . (Refer to
I Schedule G Instructions and Iowa Code 6BA .402(3)r) .)
(for Schedule B)