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FOR INSTRUCTIONS, SEE BACK OF r 'M FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE


COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 01/2001) REPORT

'IV' Itylk LILr . '),0,0 0


-
For_ Office Use Only
Comm .
IMPORTANT : Indicate type of committee you are reporting for:
Indexed
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party (4 )County/Local Candidate Audited
(5 )County PAC (6 )Ballot Issue/Franchise Committee (7 )County/City Central Committee
( 8 )Support Slate of Candidates Computer
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Parry
N& CD~muLK v CorwvcO a~ 1 1'( cw_\
Office Sou ht Dist ct (if S ate or Hous
JAN 2 2002

S1GNA URE OF TREASURER (or person filing this report) (%'TE EPHONE DATE S"iGNED

Routine Penalties Due For Late Filed Reports Range from $20 to $800
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :
I AM FILING A J uM ~~/'~ Ij . )-Uh a REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date Indicate one
CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

heck 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.) ..... ...... .. ... .. ......... .. ...$ Ua . i
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) .. .. .. ... 0' o 0
Schedule F: Loans Received total (Attach Schedule F) ................... ... ........... ..................... . 0,00
Schedule H: Total Sales of Campaign Property (Attach Schedule H) . .............. .. .. . .. .. .. ........
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL......
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) .. . yva'lq
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) ................ ............ ... ... ....... ...... .. ... .. .. ........$ 0 0U
1

*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . .......... ... ... ............. .. ....... ........ $ 0,00
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ... ............. ............ ........ ..... .. ... .. ...$ Oc C) d
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

MONETARY
VENC17UREE -- MONEY PEW FROM COMMI7TEE .ACCCUNT (Rev. Os/97) EXPENDITURES

STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADETO STATEWIDE OR LEGISLATIVE


CANDIDATES, UST THE CANCIDATE IDE61NITIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
CHECKTHIS BOX iF I
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF iD NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

COMMI11'E= NAME (Must be same as on Statement of Organization)

vv' vl\ack d-000


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
1D#
r-1 ./1,e) . ,
154-Ave
CK# 66 f
q', y~

q ,!I u ~~~ c1 f <) j '; - / 5 Sf(-,,Id


7 n7"I Y ~ .s SI BS
~ c -f- ~ Cr"'-? , y~ S'
~.
ID# .~~,5.ky SSe )~-hw~ r t -fjV
. dzs I >
d
ft'U,'n Gtf(UiM', , > . P Y _
st .kaC i\AA4t
CK#9 /0 -
vv4An So~31"+ vu l e r,,.vK , w ,1 wn 5 PC,
!D#~y~°~ ~,t a,n(vv~ OV~ avkl 24 CYfitk C-c.. ,,O00 -jv Tc~+ 0o4~ee Ao,*,,
LwSe afCv~l

C/ 0-,v- +tee. ac c"44-7~ 1,t vi


C stile.
1D# vv-,Y p,n12a~,L~

ne~), ye A 1e-/S
CK# )ay43 , 7
avl ~I,'~ P~d F<yS~vI
~rAI~^, c
4 s",P &±zkk ~v~ o az . .TA
( # %t.v,iv,^
~- Adt
CK# A"^IP`-ICs

CK#

1D#

CK#

suB-TOTAL $
4Da,!

TOTAL (lf last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY-

H. (Refer to Schedule H instructions.)


Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule

services must also be detail itemized on


Expenditures to persons/entitles providing consulting, advertising, fund-raising, polling, managing, organizing
behalf of the candidate's committee. (Refer to
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on
Schedule G instructions and Iowa Code 56.6(3)(1) .)

Page I of

(for Schedule B)

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