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7/lF ""Fu: Disclosure Summarv
7/lF ""Fu: Disclosure Summarv
7/lF ""Fu: Disclosure Summarv
CANDIDATECOTTITTEESOHLY:
Farty(ifapplcable)
TEI.EPHOT{E
?t
\,
flcuscx TFAMENDMENTTo
(r€pltdde)
REpoRTDATED 7/lF
REFORT
**""fu
FOR(1)E|-ECT|ON
(2)l{Orr.ELECnON
VEAR
or statomenl
of orgenlaailon)
NOTEAiIY FERSON,
OTI{ERT}tANAII INDMDUALTI{ATCONTTilBI'TES
fi/|ORETTTAN
$750TOYOURCAT$PAIGN
MAYHAVEFILING
RESPONSIBIUTIES
ANDSHOULDIMMEDIATELY CONTACT TTIEBOARD.
't*
INCOME
v4* tu*
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W#MY& sro*r
slufor tL,*
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tuF
V,frtffittffiP,
,r,0, t)*
74r cK#
trg#ftfo^u;tn3 f
bl,/,r IUfr
cK# >$,r"-iffiW'wL
-t>7
Br4r
<ttoV
8wffi*P^
tu#
ltlor cK#
t*
,146 tu#
cK#
'ffi1*{ffiSFoYt<a
nl/a lr-F
cK#
Wd$ffrk,
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S#,%dHtlr," I
t)fr
$ cK#
)
fl-F
cK#
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Cor'V, brYoa>
,.&
/5 m
Ysla t{u)/Qat?94 tdn [r
lu*
cK#
L"tl,^^>
G ^*.n., m-
rW
TOTAL (lf last page of thls schedule)
$
'Dlsolosure l8w requlrescandldatecommlnessto dhclce the relallonshlpof any relatlyemaklnga contrlbutlon
to the
ommfttee. Relailonshlpmustb€ sho$tnio the thlrddegreeof consangulnlty(bloodretsthres)snd afflntg (relatlvesby
menhge) . f sumame of confibutor ls ths same as caftllffis, but 01EtEls no pagEI o, V
bmlllal relatonshlp, ente "rot appllcable"In the dadonsrup cdumn. (for ScheduleA) I
a
OII{ERTIiANAN INDI\fDUAN-,
NOTEANYPERSOfTI, T}IAN$750TO}OURCAII,I'IAIGN
T}IATC9NIIilEUIES 'VIORE [4AYHAVEFILING
ANDSHOULDIMMEDIATELY
RESPONSIBILINES CONTACTTHEBOARD.
uAtts, PAU IU NUMI'EK MT{E AND ADDRESSOF GONTRIBUTOR |r(EU\II\,NOHIF AML'UNI 1 il- F9r{
RECEIVED (ilapplicaHe) TOCAT{DIDATP RECETVED FttrlD
(Mtrr/DD/YR) ANDPACCTIECK (ifappllcable) RAISER
NUMBER INCOME
rqf
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IL'F
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),rr.byrDc{ltotrt {
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)
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'*,,,?t'd#"'W*,,0r l0e
s3i<ry
TOTAL (lt last page of thls schedule)
$
' DlsclGurelaw rcqulrescandldatecommltleesto dlsclosothe relatlonshlpof any relallvemaklnga contrlbutlon
to the
commlttee.Rolatlonshlpmustbe shownto th€ thlrd degre€of consangulnlty(bl@dr€latlves)and €ifinry (clEtlv€6by
rnan|agg). lf sumamg of contlbutirr ls the samg as candldate,but tttere ls no
bmlllal lelatlonehip,enter "not apdlcable'ln the relatonshlp column.
o,g"L, V
(for Schedule A) (
a
CONTruBUNONS- MONEYTAKENIN
(lrElt/dingaatdldatespetsonalfunds)
as0n$etsmenloforgenlzeuon)
STATE CANDIDATES NOIE: lF A CONTRIBUTIONlS RECEIVEDFROMA STATE PAC (POLITICALAcTtoN COMMITTEE).LIST THE PAC IDENTIFICATION
I{t,MEER AND TTIEPAC CHECK NI'MBER II{ THE DESIONATEDCOLI'MN. A LIST OF ID NUMBER3 19AVAILABLEFROM THE IOWA ETHICSAND CAMPAION
OISCLOSUREBOARO.
OTI{ERlttAN AN INDMDUAI-,
NOTEAitY PERSON, ftnT CONTRTBUTEStvlORET}ilil|$750 TOYOURAAI,IPAIGN
MAY|{AVEFILING
ANDSHOULDIMMEDIATELY
RESPONSIBILITIES CONTACT THEBOARD.
lJrtl tr
'l'Ale lU NUMtstsK NAME ANU AUUF(tsl'S (JI. (;QN TRIBU I OK l1tr1J\ | lUNSnrF AMgUNI \t lF Futt
RECET\IED {ilapdlcaHe) TOCAIIuDAIF REGEIvED FI,ND
(Mttl/DD/YR) AtlD PAC C}IECK (if appllcable) MISER
NUMBER INCOME
t{rk IUF
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5f
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(
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a
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lt-n
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- tu-Latd Sffi
YVrf';Vqo
V.L-i?t+:t
cK#
srY*.Crv w {rtotl ae
TOTAL (ff last page of thls schedule)
'5lA%
$
' Dlsdosurelaw requlrescandldatecommitte$ to dlsclos€the relatlonshlpof any rehtve maklnga conblbutlonto lhe
commttteo.Relatlonshlpmustb€ shovn to the thlrddegeo of consangulnlty (bloodrelatlvee)andafiinlty(rclatfu€sby
mamag6). lf sumame of confibubr ls thB seme es carull.fate, bn fierc fs no
famlllal relatlonctrlp,enter hot appllcable"In the relatonshlp column.
*3-- o,A)V
(forSchedule
a
For lnstructions, See Back of Form SCHEDULE
I
GONTruBUNONS.-MONEYTAKENIN
A I punmon
(Rev.07/B) I RECEIPIS
(bEu/Ilngcan{ildate'spersonalltcds)
! crncxnrsBoxrF
oR$arenro4lof orgefizdton) AMENDINGFORM
SrATE CANDIDATETS iIOIE: lF A @NTRIBUnON lS REC€ft/ED FROMA sirATE PAC (POLITIGALACTIONCOMMTTTEE).UsT THE PAc tDENnFtCAnoN
NI'IMBERANT}THE PAC CI{ECK NT'MEERtN TII€ DESISNATEDCOI-UMN. A LIST OF ID NUMBERSIS AVAII.ABLEFROM THE IO'VA THtcS ANO CAMPATCIH
DISCLOSURESOARO.
iIOTE ANYPERgOT{,
OTI{ERTI{ANAN INDMOUALTHATCINTRIBUTES
TUORE
THAN$750TOYOI'R A$fPAIGN MAYHAVEFILTI{G
A'\IDSHOULDIMMEDIATELY
RESPOT{SIBILMES CO{TACTTHEBOARD.
IJ,|IE, PA(; IU NUMT'EK NAME AND AT'DRE$S OF CON]RIBUTOF' KE|-Ail{.,NsH|l' ,iIYIL'UIT I \, IFFOR
RECET\IED ffa$cable) TOGIE{DIDATF RECEN'ED FtFtlD
(MfvllDD,YR) ANDPACCFIECK (lf applcatile) RAISER
MJMBER INCOME
V1x
IIJF
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TOTAL(If tast pageof thls schdule)
'Dbdosuro law rcqulrcscandidatecommltte€sto dbdce the relsflonshlpdany Elatve |IEklnga conblbutonto lhs
s l6bfr'Y
aommfrF€. R€lauomhlpmustb€ shdn to ths thlrd dqr€€ of consangulnlty(bloodrslsthrG)and strnlty (teletv€ by
tmmegs) . tf suma||E of @nubtmr b fts sans as canfdafig, but $sr€ ls no
bmmd reldorehlp, enlerhd appleHe" ln te ddonehp dumn
**V "L{
(for6chedule A)
'l
tr
ta
FORINSTRUC?ONS,
SEEBACKOFFORM
SCHEDULE
I
- MQNEYSPENTFROMCOMMITTEEACCOUNT
EXPENDITURES B I uorusrnnv
(Rev.07/03) | EXPENDTTURES
STATE PAC COMMITTEES: NoTE: FoR CoNTRIBUTIoNSMADETo STATEWDEoR LEGISLATIVE
CANDIDATES.LISTfiE CANDIDATE
IDEI{TIFICATION
NUMBERINTHEDESIGMTEOCOI-UIIru
PAc GHECKNUMBERFoR EAGHBPENDmJRE. A tlsT oF lD NUMBERsts-AvAtrlstE FRou AXOrNE
rtrE towA
D cxecxrHrs
BoxrF
ETHICSE CAMPAIGNDISCLOSUREBOARD, AMENDINGFORM
asonsieainont
orats@
K$rc* fo$<*'.
\\lwl h. W )uQo{Utt6f
CANDIDATE V MMEANDADDRESSTOWHOM PURPOSE
DATE ID NUI4BER AMOUNT
E)(PENDITURE (DESCRIBETRAI{SACTION) B(PENDED
EXPENDED (if applicable) (Dlsbursoment)
WASMADE
(MIWDD/YR) AND PAC
CHECK
NUMBER
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SUB.TOTAL $
1AE le
TOTALllf iasipage of flrlsscMute) $7LlLt le
THISBOXAPPUESTO CANDIDATES'
COMMITIEESONLY:
Ptttcfiasescil certaincarnpatgnproFrty @dng $5@ or more must also be inwntoried on SctreduleH. (Rsbr to Sffiub H ffiucilo'rs.)
provdlng consultlng,a<lvefilslng,tund-ral$ng, polllng, managlng,oryantdng ssMces must atso b€ detrailitemg€d
5ff!!nf^fry_.|q! on
!qn44" GbvGeamount purp&^e,
ano-oate:i.gF.tvp"
oieirrenanrri
riiiil iliil;rso;eiw"";;ii"il;ile candldate's
comminee.
Schedulec ln€tucitlonsand low€ Code 68A.402(3)0.) tnj"TL
(f6i SchoifUl6B)
FOR INSTRUCT'O'VS,
SEEEACK OF FORM
as on Slatementof Organizaton)
E cnecrrHtsBoxtF
AMENDINGFORM
q l\, (d ir&Ld1