FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE

(Rev . 0712004) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Ofnoe Use Onk
Comm . ;k
A-GL
-"- -- rti Logged In
v ~"
Scanned
o . o
"

' . it i Computer
Audited

Ppr)y (if applicable)

Late reports are subject to
possible civil and criminal
if Senate or House) penalties.

IrffArnWW,/AFAA11,01 21
T ELEPHONE DATE SIGNED

REPORT FOR (1) ELECTION I(2)NON-ELECTION YEAR .

(report date) Indicate by #

CHECK IF AMENDMENT TO REPORT DATED / -l7-,0 4 Local Committees, enter Date of Election
/~03 -(!~' - G7 S
[~ Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County tK Local Committees, enter County in
which EleqtQn Is. hold
(You must continue to file reports until a DR-3 is filed .)
r "-CJ

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) . . . . . . . . . .
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
fScWule H applies to Candidates' Commltteea Only)
SUB-TOTAL . . . . . $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (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
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

"UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

IN KIND CONTRIBUT10N3 (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOYYN (Schedule G Attached?) YES Z NO
VALUE OF CAMPAIGN PROPERTY (From' Schedule H - Attach Schedule H) $ - .-- ---cl. ---
 For Instructions, See Back of Form EDULE
MUNETAR -, i
CONTRIBUTIONS - MONEY TAKEN IN
~:6C ;Udmt, i-AtuidVe'S rwxana! funds)
1 fRE<V. 07T3) RE C'Eip7s
I
CMFCK TW* BOX I
V;U m (V r~st tmsolve &: fin 8t*qstZ( pf 0 .rganiza"iqn) AMENONG FORM.
I

STATECANOiDAI,E& NOTE : 1FAC)N*rRlWT!UN1S~`+ECEj%-r,;D `JPQM A:

T:ATE PAC !.PGOTICAL ACTION CNAWI-FE ; . L iS' THE PAC IDEN TIFICA rION
N 1,1MBER AND NS PA C CHECK NIJMBER 1,-4 Tt4E OF31 GNATED COL UMN. A i,i ST -,' ID NUMBFIiS 16 N,/AIL A 80~ PRCA', 'tip IC, WA ETH ;CS Ahl) CAMPAIGN
01SC40SURE BOARD

CAUMN . SeCio,', 688 37A(6), lv*v Code, prohib ;ts ;he %e ;.f mfr-rrnaton copied fi ',r" i ift)oits vid sratL4m ,.,m-s for sc,:icitin ,;j contrib :~',jons o ,
for anv sornmeraw rLspose t)y g .iy parser otnar than sjtwtcvy poldicai

DATE PACTNUMSER - 1 RF-t.ATtONS.,IIP 1 N r

; JOU 4-, ; , r PnR
RECEIVED !If applicurm) TO CANDiDATV :?
RECEIVE
(MANDWYR) ANC) PAC CHECK ,it appllcab*) RASER
WIVISER INCOME

F,
;vU~ /~LcJ~ ~
$

As
i -Do ~

001 i

i Gl~~t
~ l. ``

"K

. .. .~.. ._ . ._ ._ .~. .t~ . ..____.___. .._ .. .__.._. ...._._.... .__.__~.___~___ .__.._._ .__...__.___ ..~_____.~__.__~._ . ._ ._ ~...._ .~__ ___~__

CKO

SKO

C'K* i f.

.._ a. ...~ .___ ..__ .__._ ._ ~ ___..____.__..._~ ._ .~P.~,

c K"
SU154MALL
S
TOTAL 61 lust peg* of tads schedule) I

' Oisclosurv *v. toqwres rmwicale urnmittoes W690,** th*, 4almWnsnip vf any Wakive mawng a Qvm,., ,Dow,:1 1~)Vh*
e"Ornmitt" . Relgt4 .uhig nwm m O .m w me mv Wee of conamnOWN A= miam ana 001 , "Wmwi hbl.
mm age) 4 sumamedcoptrioutor ;s oil there, is iv Page - .-L- vf -- /
famine! reigtiunship enter-nat app0cat** ri Vio rvla*.,(::nship cWwrn tfor Sc*edule At
 FOR INSTRUCTIONS, SEE SACK OF FORM SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev . 07/03)
MONETARY
EXPENDITURES
STATE PAC COMMEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 7L41 CHECK THIS SOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.
J
COMMITTEE NAME (Must be same as o?P t of Organization)

CANDIDATE NAME ANODDRESVO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if appiicable) (Dfabursement) WAS MADE
(MMIDDfYR) AND PAC
CHECK
NUMBER
ID# d-el 77 /mom

. ~.~~
oso 0
r~~'
ID*

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

~ iD#
CK#

SUB-TOTAL $

TOTAL (if last page of this schedule) $ ,

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 personslentides 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 personlentity, on behalf of the candidate's committee . (Refer to
Schedule G instrt .tdlons and Iowa Code 68A .402(3)(i) .)

(for Schedule B)