FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE OR-2 I DISCLOSURE

COMMITTEE NAME (Must be same as on Statement of Organization) (R v.07/2004) REPORT

F Office Use nl
Ckmm. #
IMPORTANT : Indicate by # type of committee you are reporting for : L____ , --- t~gged In ~ - ... . ;:
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( "" -canned
(4 )County Central Committee ( 5 )County Candidate (6 )City Candidate ( 7 )School Board or Other
Political Subdivision Candidate ( 8 )County PAC (9 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
Late reports are subject to
possible civil and criminal
Office Sought District (if Senate or House) penalties .

36-23(1, - 6t,n
SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

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

(report date) Indicate by #0

Local Committees, enter Date of Election

FICHECK IF AMENDMENT TO REPORT DATED

r_1 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed .)

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 .) . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .$
;2151q, /V
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A : Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . . i SJ S 11, qy
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 . . . . . $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . 13, 3Is . D3
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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

e--
**UNPAID BILLS (From Schedule D -Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .$
*IN KIND CONTRIBUTIONS (From Schedule E -Attach Schedule E) . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .$ 12- 1Soi!~ . 3
**OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

D
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H) $
 For Instructions, See Back of Form
SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN A I MONETARY

(Rev .07/03) RECEIPTS
(Including candidate's personal funds)

Iel CHECK THIS BOX IF

COMMITTEE NAME (Must be same as on Statement of Organization)
AMENDING FORM
I
i -caS h _ vl cc4~

STATECANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER ANDTHE 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 v~ IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER
INCOME

IU1 ~~1 # K s4 . 01
I) CZ
fl
ID# CoLU_c~ I L.e I
113 A FSCME1 t-

E]
4
CK# `13 zo A1-W-
`r-
A" S"~c , 0 i7
D1hCJi3

'ciifiu: (
E:1
EdwCafi's1-N FLEA-&
Id -1 CK# ,ga rL .r--'~ Sum
yoN Sao .Do

do--
ID# 4vke e-
off C K#

ID# Le 0-?
.2 N
I
1 S

to 0_~,wtaa,
h c-v I-

(rp .~ .u P A-G
yo, -~ 0 1 /06 .OL EJ
Z.OwC" .

E:1
O
CK# S1I
()m
bl , Nrf' -D91, U
ID# _REW ~~uGC O =L Coi,-.w,~~F-CG
I Iz5 1
CK#
E]
W~-SV,N~ h 0G 2 0 00 S 1~~
ID# LPo , lV ~tti r-h t- -Fov A 1 t,14c,

DZD M ; e,-r I s-0 9 So . o o

I iI I P C~'~ L+~-+^ ~
CK#
c.<Lw 1 oti 5n ? o Z L~C . 6 0
ID# U3~iSc~,be~~tr
C~yt~
1 0 1c) LJ I Sk
CK#
C . dc, S-Z) . 6"I:
ID# -john ~tt,r~ [ral++llti~"''I'`~ C~V-CA1-
1 Q 2'l to lo o,-~..,y~- Mv`
\1\\ 6 ~A C K#
w Iol?, Ty:", s~-)r, 1 ~g .3a 0
SUB-TOTAL

TOTAL (fflast 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) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule
 For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev . 07103) I RECEIPTS
(Including candidate's personal funds)
O CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

I/ S~~

STATE CANDIDATES NOTE : IF ACONTRIBUTION IS RECEIVED FROM ASTATE 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 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

0 CK# ZSo 1 Gl~ -~ A-cc J--(-f- 3 $

t~
alrtJ .5L` SOo . D

El
ID#
GL~e w., N O

S0r31 Saa .o-

ID#
P ~~.a~t ~.~-.
LIZ
CK#

>as - ~ sb zL~~, ! Sc o 0
ID# ASS0c .iC-*iV-, PAc
I( $ ToW°_ of

uihc1 L .S~'LGt!
ID# 133 5 (CA- . Q~'I~t-Ks 0 f zow~ fp t~
211 PM k. s+ .
cK#
\' P .o . rox (.SS
Do
o h~~ 2~ -0 3 D 0~ St7 .

t-yt l7~
CK# x/+70
q'
Lv ,. MJ~r,~ ~ S u 2C- S Su . ~
ID#

4 G,-~-t A-vr;
o'rl 1 S- 0 703
ID# '()\a S 4?
I c. t S w.c~- .iF-1 c-uJ B~ .
CK#
C { c~ ~ F d ir s - c L, 13 00 . 6b
ID# (4 2 3 .~ A "pec
t 311 y Fc.~, At-~,_ tiE
\c1 `p 1 CK# cam(
f ; d
CPCi,,_ ~-a ' .r, il- S2ti
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) . If surname of contributor is the same as candidate, but there is no Page -;~of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form
I
Reset Form SCHEDULE

A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

u
STATE CANDIDATES NOTE : IF ACONTRIBUTION IS RECEIVED FROM ASTATE 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/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

Y
CK#
a , I-t° I t, -
10d , tTU
ID# j_0>-y\
<D< e rc c o i_r~o , 47 cvc Ai 4-
~
I, -is
1~1Ct`~fi~IOb !r Y"t' So~ 0 I
I D#

CK#

1D#

CK#

I D#

CK#

I D#

C K#

ID#

CK#

ID#

CK#

ID#

CK#

CK#

SUB-TOTAL

TOTAL (iflast page of this schedule)

$ ! 5 5)1 .9$
' 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) . If surname of contributor is the same as candidate, but there is no Page ~ of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
 FOR INSTRUCTIONS, SEE BACK OF FORM II xeset~t" orm SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev . 07/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, 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)

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMIDDJYR) AND PAC
CHECK
NUMBER

o4d:, D, 0-7
CK# sfi s
"

ID#
Pa s+r--xS+tA, ~ S4"s
y6~::- vl^~ vws,+~ "]
°~ CK# 03, D U

ID#

I ti zi
oil CK# 0I
t,Js, -r1ac , 6070 4..

CK# 35CO .oo

0 2
ID#

CK#
~ -dIC~ , SOf~GI y

CK#
wr~,lo~ ; ~~o ~ Gy y
z~-
ID#

`+'too P6S~ b tt
Ib~$~D4 CK#

ID#
1 pS~
~(~,terlsC ~as~' b~~'2
CK#
3f7o . s~
SUB-TOTAL $ ,
p S
TOTAL (if last page of this schedule) $

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 personslentities 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 person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i) .)

Page of

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM I ice SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev. 07f03)
MONETARY
EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, 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)

(m 1 ( 6-L,
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDIYR) AND PAC
CHECK
NUMBER

CK#
it s $ y I .0
1D# (~ loa C r) u-y i'ce'

CK#
o-d.S `-( 9 S . sb
&&44P-rt., Co .
ID#

GK#
3 5 , ao
ID# &-e-{,, . C6 d (rc
`t '1 A .o
3 9 V 1Xo ~, D r
Whg l ~ bt
Lr'
I

CK# I

U_)e4~100 . 51-701 Z2_1 . 2

II?# .~~ _
PI 0 r ep.-~-C
CK# 2~H S A,
\\ we, .-l-t;v l o . , -D~ So a Z.Z3 . Z o
ID# DC k&(-t~%~ ~` v o, r~.t~ -~v
1-cveyJl7f ~ {tc-h *~
\~\~H CK# M~/4
1 I,Js- 1 oo, Swot X32 . Q
1D# c F -F ,' e sue,-,
~ ~~ b Move-l-w~ w
CK# ~-~Us Z
0c- t,-(6 a i TT~- 6 o S (5
ID# sc~~ D(1,,eATo--
35()U
CK#
aS ,g$

SUB-TOTAL $ ,.-/ ~,
2
TOTAL (ff last page of this schedule) $

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
Schedule G by the amount, purpose, and date of each type of expenditure made by the personientity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A .402(3)(i) .)

-2,
Page of 11

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM

I
SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev . 07/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWDE OR LEGISLATIVE
CANDIDATES, 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)

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMIDD/YR) AND PAC
CHECK
NUMBER

5c f F ~G-in ~ tls o ~
CK# ~So4 nnb h-1-w -cy ~ ~'
iz~bk n' i1; l2Sf ot1 ,
WCAVloo 5b?0 1
ID#
a7U^^ ; (-\,5 b I^
lcfk
C u-rvf r~kO/~^ UG iu e..c.~-

CK# 3fia4 M° ti-f ,wth ~',

(,~c.-tw l oo , ~s
~bA 6--\ 3J
Sam"?
1D# ~ ~cw~:casM cu~"~' V~ I L.u-lam+
CK# Dew, Lr''~ u l '-` to/2_U/01
WC+tr(oa . -ZVN Sole I
1D# 5th ; 01C.w.~(t~ ~ ~V61( L
CK# SSorr Motot'~+'~ ~~
61-1 Z Z . 21'
w~ wtD 6, w 567 ° 1
ID# D &4A 6 1-\
CK# 35D4 MD i^{ .rrt J Cr '
~iti ~I~ ; day
kk~-e-v l oo ; ~ Soy 0 1
I D# ~Liud' l?-r t
Soi L S 4' , C
CK#

ID# .>e J
tl4 CK# ..~~V
It1\'~' ;,jc,.~t_v I b C, C; o G f
101# jDe4~' dj a V~
U M
CK#
(JIiC~'+~~(oo ; ~ Se~DI
SUB-TOTAL $
.3
TOTAL (if last page of this schedule) l $

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
Schedule 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 Iowa Code 68A.402(3)(i) .)

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM I Kese SCHEDULE
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY
(Rev. 07/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
D CHECK THIS BOX IF
ETHICS & CAMPAIGN DISCLOSURE BOARD. AMENDING FORM

COMMITTEE NAME (Must be same as on Statement of Organization)

~-~s~~ ' v
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMIDD/YR) AND PAC
CHECK
NUMBER
,~ ID# H-tAJSsn Pri N-h'hS CO .
\l~\ d -1 'P .O . Guy ')-10
1\ CK# $ S7,20 .OC)

ID# on rV.,ed~0-
(130o Cold-.C t S4 . AJF
CK#
Cedc-,( - ~ JS 2tioz 93~1~ o Z
ID# f3 ,-_n, c oX r? r, h ~-2

CAJC~ .~ ' IGG i ~A

s o-) 0 t
c' v-V~
(
-7
y. (sue

CK# 5-L, to be

1n b " Z Pr- L
I D# Dza Y1it Ji I~ S 14-,( __j fu~

CK#
o~11t So3o $2 . b D
Tja
1D#
lam- ~~ <-ISO:-~ h o~-e f ci~~S~S.
N
~ CK#
\21 G,
..ltr l oc ~'~ SO Q f
ID# ~cFf ~c-~-'4Ss- .
V-C l Yh, ~I,C T
3 i o to 0U't~ l i tJ' _
+: y'JU~ot CK#

ID#

CK#

SUB-TOTAL $ ayv7,E7
TOTAL (iflast page of this schedule) $
13,315 . cj

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
Schedule 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 Iowa Code 68A.402(3)(i) .)

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN KIND
COMMITTEE NAME (Must be same as on St ement of Organization) (Rev. 06/97 CONTRIBUTIONS

V
Q CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED J IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MM/DD/YR) OF CONTRIBUTOR ' (if applicable) CONTRIBUTION VALUE CONTRIBUTION

Ic Wt~ pe yti. o c L 1
N 6i I tic
OIZ1I~~" o -}~ .S~ b~~'Hq
r cduc~o~
S-,xc-J-- ev
I~c

F]
. Yln I) l°C,,+tj u
01 r-w/t j
05 -

t Y~" c Y 4.7h
-C C6"-"
(OI~~ I

Z ~v '-ery s S 5+01 . i

D, 30`0
( S,~,atc. F Lv- A-
ar,~ h~ S fL . 12

Fur-
t1 ~I"' 33 ~ , ZS
n~

F1 -

0
F1 -

F] -

`Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page 1 of
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by 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.