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FOR INSTRUCTIONS.

SEE BACK OF FOR/ FORM


DISCLOSURE SUMMARY PAGE DISCLOSURE
COMMITT~ry NAME (Must be sam~son Statement of Or anization) (Rev . 01/2001) REPORT

For Office Use Only

a Comm. # J- 055
(
IMPORTANT : Indicate type of committee you are reporting for:

1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate -°ul Z--
Audited
( 5 )County PAC (o )Ballot Issue/Franchise Committee (7 )CountyiCity Central Committee .r
( 8 )Support Slate of Candidates Computer L

CANDIDATE COMMITTEES ONLY :


Candidate Name , Political Parry

Office Sought District (if Senate or House) JAN 2 2 2002


-j-D U~~ ~ t` -
.4
S TUBE O REAS ER W person tiling this report)
,
(s- 5) Z:
TELEPHONE
2- q70 o~ zZ
DAT SIGNED
cal

Routine Penalties Due For Late Filer! Reports Range from $20 to $800
SEE INSTRUCTIO NS ON SACK AND COMPLETE THE FOLLOWING SENTENCE :
I AM FILING A ZIA_V. . .c ;w A ZZ "2LnZ REPORT FOR ANIA (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one

FJCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

El Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
(You must continue to file reports until a Notice of Dissolution is filed.) which Election is held

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period . (This is the total of all monies 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) ....... ...... ... .. ... .. .. .. .. .....
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL......$ .3 ' 5 .3
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
9
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) ... i I S 7
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) .... ..... ........ .. ... .. ..... .. .. .. .. ............. .......... .. .. ......... ............. ....... . . .... . . .....$ 2 ,337
r ~11
e
**UNPAID BILLS (From Schedule D - Attach Schedule D) ...... .. .. .. .......... .. . .... .... ....... .... .. .. ... .. .... . . ... ..$
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ..... ....... .... .. ......... .. ................ ..$
**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 SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 06197) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
I COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

VVk ~~ wC~ O cs.S~

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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MfWDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
10161 lot
CK# (o 67 1 14 L6
o - v i l~
/ ID# kl ;.~ c~
Z S/c~ i ~ o
U
~dl CK# i~cS~l 6 - v1 $f~.
Ce ~ a.~ ~i31 s -L,r4 ~`Z`+k~2

ID# (!t Nle 111 I


q3Zq- a,S p
01Z 5/6 CK#
o rt 5b 651
AFstftk F I TA
ID# 6113

o ~ rcfLS _ ~i, ;3 13
ID# ~a,r01~ ~ ~ leSS
I ( l03/01 CK# -rsov+
rSl rEC?..i `- So 3 t ~ f ~ aZ_
ID# ~, ~ Sc-k vt.~1 l

fD~LS~oI CK# 5C+~' 3 =`~ S


P"kCrs e~~
ID#

la
CK#
na .a, r;r - 5 3rD
ID# /4ocXr s .c1
Hr 1Ce -
1425fof CK# 314
:G4 .5664q Z15' -
ID#

l~D/Z.~lc~ 1 CK# qU'7 L0-~ Lv r ~I , 4w~s '


So( ZL ~`
ID# Aa,V Ay Vt YG""
l lp o l
CK#
C,,o r aa vz d L 3 2, 779
SUB-TOTAL

TOTAL (if last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative malting a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by `
marriage) (Seed Page 2 of forms packet .). If surname of contributor is the same as candidate, but there is no Page
familial relationship, enter "not applicable° in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

- ~ lCL 4
C 6, wk e (o-ell '

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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DDfYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# SVl"wI CG., ~ur' ~s5
1111 5Z z
10lb~~~I CK#
rs 1'Ylo t n-e5 -L{1 5c>313
ID#
3q 3 Ps
E ID o I CK#
hPS rutitrQs ~ ~a3t3
I D# GLtit ~% l H G~
G h~

~T4
CIC# 117 3 /4o M4 j
Ctlr^ S ~ (il t ~UJ It '~ \ ~O
ID#

CK# ._
It7/Z~~~1
-6o zod
ID# t, ii) jtiat'e.
a"-
f JS
Z4- 5c> zoS
ID# pc, o-f( 1~rYSsS

~ o~zb~o l CK# 9 Z3 2;~ '~


~w
~ n+~e r oo -N4 Sn?u-Z
ID# L.EcvN e-. IN) . t.JO 1

~~ CK# 3914 . :..,. k,ZIOI c,-+ CT Z- r ~ ce


._
J
Z/,oA - X0-70 I
ID# - ,
a-U-tj W U VVl

o
ID#

11/19101 i341S , u~--)


CK#
(V~n.&r~A ' .~ ~rzfs~ " 019
ID# s{me- ut 4, w ._ P a C .
1,Oo8q
r
J'rJ-~r' Z`l~ S k' .iier
CK#
I I I ~t6 Pl n is , Zc. mile
SUB-TOTAL

TOTAL (if last page of this schedule)

" Disclosure law requires candidate committees to disclose the relationship of my relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bar
of Page 2- ,
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 . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 06197) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MIUUDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ~or1 C . lychee,
II /ZOIU~ CK# 36 ~i v~S io v~ 6r~v-~
o ,,i VJ S35 F>3
ID# ~l 8e-y
(0Z-7 cll,46A ~~ -
CK#
es !Ylo1#1es Q? 0313
ID#
vua-Ve~

rn o vk e-S si,313
ID# ~~ (c C~IG ao
l LloZ/o+ CK# 41-7 vk&w,
i&cs -<u315
I D# R. L,h C --r J+L lrvl:4e-rs ,1
Zl0 Z~/p I CK# (,CJDe I u;H tl ~,, cJt~l`S
G ~G 5ZZ" u lt~ °-~
ID# Ph ; +( ;,,
V - sA

)Z~az,1ol CK# 5( zs nlE- 6"" Cxl.~~


S0 :313 ZOD
ID# (lit (Lvt a. u .CA.
a,%4

CK# 4506 ~/~{ti.1~Ol/kN~ 1'aN k-v.5<


!~"
aS YYL d t l`eS ~{ SO~ I S I U0
ID# Ak~exl ,e- L,3,1vxQ'-- Ft~

l/dz v l CK# z6 3 s 51F- F~`S-f Ix,


( bas rn o i t- e-s so 3z~ - i u y
ID# o r~ .vw\- Le .
CK# 5303 _ 3oL~`~

ID#
Z/62,/off
CK# 51 u - 3T~` S-fK-e
bgs M o gs -:C- A So3(z l
SUB-TOTAL

TOTAL (iflast 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) (See Page 2 of forms packet .). If sumame of cordriturtor is the same as candidate, but there is no Page 3 of
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 06197) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

4-r- T~~C'- kkot's' .

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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# a.v~~-f - ~e bvY-
'
Zw3wl CK# d1! F~-f 3~ s Cp -t
cs /ti( o ~ .~. So3
ID# J i a.. (c'f Z
a zlo4/D! CK# 11 S E av'x- 2:
Dz,z lo Z~
P~~ C~
ID#

/ Zf l) 7/,) I CK# ~zbo AJW -11`1 Plod


a, ,~ 5ct> Zl - 90
ID# 'pc..j Rf(~~~ t4-
41
12-11 Vo l CK# (1667
lore, (lc-
W (!ULv
W-
--TX
~_
5 S03i
ID# tA+.r..AS2w^
d z/&1ol CK# Mc) i

ID#
cv`
°°
r o/zeb u CK#
a ass ~f~rl~ ~ t~Y ._

ID#
FOX
1'~bzlo f CK#

ID#

CK#

ID#

CK#

ID#

CK#

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) (See Page 2 of forms packet .). If surname of contributor is the same as candidate, but there is no Page
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev . 09/97)
MONETARY
EXPENDITURES
TATE PAC COMMITTEES: NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
,:ANDIDATES, 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)

,- " vi~, (( -C,~,, 4


CANDIDATE' NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM(DD/YR) AND PAC
CHECK
NUMBER
ID#
AI Pr

P
.~hhs -~-r4 S~I3(
ID# '

ll~i3/off CK# S-f~.Ivp Z8


.L~G.hs 1'k 56131
1D# 2,0p -Z. -
L.
A4 917
1 ~lZj1o f CK# 17,(

CK# ZU03 t735 l_ G~~~~ cKU.G ~ ~ St ~rnS


hs / l IL 1 vi E'Ss

ID# -,-
~e.wv~4.rt D eCor~l ~ ~ 3
v~ C K# ZOO 1 LZ~ E-S- .. 8(0 ::71
o `n4S =Ls4 So!
I D#
IZlzq/or CK# ZC~~ ~I73q 1;. ..k6- 8n
4uZ
,tJeS OLh~" yr7S~ (b ~~~~ t'S
ID#
~.-m~,(~ 6",-,;d
tzlz-t1o, CK#~ups P ~ /.2.3,5
Mn .~ ?' Sb3d
ID# '

CK#

SUB-TOTAL $

TOTAL (iflast page of this schedule) $ q

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
3chedule 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 larva Code 56.6(3)(i).)

Page
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

COMMITTEE NAME (Must be same as on Statement of Organaehon,


D
(Rev. 08198) I INCURRED
INDEBTEDNESS

0 CHECK THIS BOX


IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this FORM
Schedule, as well as any new obligations incurred in this period .

An "incurred date is a debt for


DEBTSIOBLIGATIONS 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 BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MMIDD(YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD*

AAf~~ L. ~tScvJ--,; Carv~ 1 'o -e eke.,.a, 11(c- , ~A


~vtr_QlA~l,~ $
3, of
4,(, -r l n! w q''4 C6u ,-t 40 4 -7Z(7- ~3 o 1 '7 / -
lC Uc ( ( e ~,q 5i~3 ( 3-1 cx~9 .,Ert r~F~~,.( Lc)cb 6tfe.

Avol I
~7 r Alw Y~
- I cx;~ 7°3 -74z _" 65 t 5rl
S~ lr>Jv r li 5~3 ~ 3

SUB-TOTAL $

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


D

*If actual figure is unknown, show "estimated" beside the figure . Page I of ~_
(for Schedule D)

CANDIDATE COMMITTEES NOTE:


*Incurred indebtedness also includes each persorderitity with whom the candidate's committee has entered into a contract during the reporting period for future
or continuing performance. Enter the vane of the consultant who provides or procures services for Items such as advertising, fund-raising, polling, managing, or
rvnani7im ccrvirrc Ronrvt m CrhMi do r tho nati vw of rvYfrvmanrp xvi tho actimatM norfnrrnanrp rwasmahly cmsrfa i of ttia rmcr dtant
rvn nvo i nvi, t wives, acc omt.n yr rvmvr
SCHEDULE
THIS FORM IS USED BY CANDIDATES' COMMITTEES ONLY
I
0 H CAMPAIGN
(Rev. 02196) PROPERTY

COMMITTEE NAME (Must be same as on Statement of Organizatbn) ATTACH SCHEDULE H TC


EACH REPORT, MAKING
CHANGES AS REQUIRED.

Q CHECK THIS BOX If


PART i - ONGOING INVENTORY OF CAMPAIGN PROPERTY AMENDING FORM
PART II - SALES OR TRANSFERS OF CAMPAIGN PROPERTY **
Date Purchased
(Schedule B) Purchase Current
or Date Received Description of Property Price or Est. Value at Fair
(Schedule E) ValueWhen Market This
Acquired'
MWDDYR Report

1A VI P.t/

TOTAL VALUE CAMPAIGN PROPERTY THIS RE R ** PROPERTY SALES & TRANSFERS TOTAL TOTALS $ $
(TRANSFER TO SUMMARY PAGE) $ (TRANSFER TO SUMMARY PAGE) $
* If estimated, show est. beside figure . (Attach Additional Schedules if Needed) Page of Pag
(For Schedule H)
I' (,4/t (,1rv

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