GIIJr ITA PAGE 01

? :"?F007 2 1 : 33 5535565235

FOR INSTRUCTIONS, SEE i'34CK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE

COMMITTEE NAME (Munf be acme as on Stafarmnt of fenization) (Rev . 07/2004) REPORT

0OAMUN I CRT1ONS LOO /2KERs OF fi1N~4ICA 4OL11t-700 For Office Uq Only

110 PE F 9 u0 497/O Comm . a

IMPORTANT : Indicate by 0 type of comrrofe you an rspordnp for, Loagod I
( 1 )fh#dda/LepkWa-IJudps Standnp for Reterrbon Gnddet. ( 2 ~fttu PAC ( J )stsa Party
Samnmod
(4 )Courtb CeA4al CenI,dfo (&)County Candidate (e Iclty Candldat. (Ir Achael Beard or Oth .r
P9Nwt SUbdN1e1on Canaltte (d fA+r+ty PAC (a )Cf PAC ( 10 )8chool board or OUar Pollocal Co mD va r
Subdivision PAC ( 11) Local SaW laaue Audited
CANDIDATE COMMITTEE& ONLY :
Candldsll Name Political Party (if applicable)
Late reports are subbed to
possible civil an0 criminal
Off" Sought District (If Senate or House) penalties .

5G
(.efi,~uX , SEeRE~1R 7XMsWc ti- 3 SSA -s ;t 34
TELEPHONE
RRON FILING E~-

REPORT FOR (1) ELECTION I(2)NON-ELtCTlON YEAR,

Indicate by 8 10
-j
Locsi Committees, enter Fats of Election

County 8 Local Comrittees, enter County In

hook tf this Is final (termination) report and attach Notice of Dissolution Form DRS .
whlch Electron s hold
(You must continue to file reports undl a DR-3 Is ?fled .)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period, (Total of ell funds held by the
oommllfaa . This amount MUST be tit same as the cash on hand at the end
of the last reporting period or must be taro H thus is first report riled .) . . . . . . . . . . . . . . . . . . . .. . . . . . . ... S

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A. Cash Contributions total (Attsoh Schedule A) ('also aw in-kind below) . .. . Soo 00

Schedule F : Lean. Reoelved btal (Atach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..

Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . .  , . ., . . . . . . . . . .
Mghaduie H spolbs I, Csndfl0abett' Contmioasa 2W
sue-TOTAL . . . . . :
SUBTRACT TOTAL MONEY SPENT TW& PERIOD

Schedule B : Expenditures toll (Attach Schedule 8) ("also see debts and loans below) . . . .
Schedule F : Loan Repayments total (Afts& Scbsduls F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .

CASH ON HAND at the end of this reporting period (if final report balance must
a zero) (Attach, DRS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ G -7 ;~ ~-L!

"UNPAID BILLS (From Schedule D - Attach Bohedule D). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., .  . 5

"IN KIND CONTRIBUTIONS (From Schedule E - Aftsth Schedule E) . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . i
"OUTSTANDING LOANS (From Schedule F -Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S
CANDIDATE COMMITTEn ONLY :
CONSULTANT BREAKDOWN (Schadut . r; Ate~?) YCG 1:1 NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) S
 5h35555235 raIIJrITA 2
PA(1 E C'"'
01 ; 17 ;"200 7 21 : 33

For Instructions, See Back of Form SCHEDULE

Reset t"arm .
A
I
MONETARY
CONTRIBUTIONS - MONEY TAKEN IN
(Rev . 07103) RECEIPTS
(Ineludlno nwidideb'a peften.l runs)
CHECK THIS BOX IF
COMMITTEE NAME (Ah* be sema as on Stehrrvnt f nization) AMENDING FORM
Co wtrruuICRriaNS WeRKF-Ies dF /4MXIL .11 L.aC+L7/io
E Fujjlo
STATE CANDIDATES, NOTE: IF A CONTRIBUTION 18 RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE 001ONATED COLUMN A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS ANDCAMPAIGN
DISCLOSURE BOARD

CAUTION: Sae bn 6W,9?JA(6), Iowa Code, proNbf the uaa of Information oopled from reports and statements for soliciting contributions or
for ary commenclel PQpoaa by any pawn other than slAtutory political committees .

DATE PAC ID NUMBER NAIVE AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED Of appYoable) TO CANDIDATE' RECEIVED FUND-
(MwodyR) AND PAC CHECK (N applicable) RAISER
NUMBER IIJCAW F

IDE

(a/ef,lob Cw d~E B~~51~+ ii9 pui 5

s5Q0, ao
~i

ID/

C)u

ID/

CIO

IDII

CKO

IDS

CKO

I Dig

CKn

IDy

Clu

IDs

CKw

0111

CKO

IDN

CKO

SUBTOTAL
500 to

Lsd~
TOTAL (ll last pep of Ohio schedule)

' DIAOIoww low Mqulres oudidds oorrmrllasea to eirdaai" reYtlonsh Ip of rIy riltve naldng s ooetr(buNW ro IM
oomnlne. ROWwn"4 must be shown to the ahNe d"rae of ewsoVoInay (blood nrlaaves) and &Wily (rakruves by ( I
nentge) . K runwrtw d adnhlbueor tAd rime as andlmt+, twr tlWe Y no Page or _
famllht reh arwhip, etow NW opplicabb' In 1M raladenst+lp oolurrn . (for Schedule A)