FOR INSTRUCT!

NS, SEE BACK OF FORM

FORM
DIS LOS URE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAM (Must be same as on Statement of Orgenlzatlon) (Rev. 03/2003) REPORT
EMILY's List- Iowa
FarOfflce -Use I
IMPORTANT; India Comet . 0 ..._,._..._
Logged In
(1 )8tetErWIde/Leglslnt
(0)county PAC (0)D Scanned _
a )Support Slate of C Computer
CANDIDATE COM ITTEES O Y:
Audited _
Candldate Name Poll al Pony

&-2004 -
C ice Sought Dist t fif Senate or House)

SIGNATI O EASURER (or person filing this report)

(202) 326-1400
TELEPHONE
L1W/o
DATE'SIGNED

Late filed reports are subject to possible civil and criminal penalties .
,f4111 :4 1 1hri" S ONBAC K AND COMPLETE THE FOLLOWING SENTENCE-
I AM FILING A O4tober 19, 2004 REPORT FOR ANIA (1) ELECTION /(2)NON-ELECTION YEAR,

a
(report date)
Indicate on
Lord Committees, enter Dato of Election
,_,CHECK IF AMEN~MENT TO REPORT DATED

County tk Local Commlitcoa, entor County in

J Check If this is fir}al (termination) report and attach Notice of Dissolution Form DR-3 . which Election is held
(You must ontlnue to flis reports until a Notice of Dissolution Is flled .)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period. (This is the lotal of all monies held
by the com ittee . This amount MUST bo the same as the cash on hand at the end
of the 1851 r pur Iiiig period, or must be sere If thl3 is first report fllod .) . . . . ., . . . . .  .. .  ., ., ., .  . . . . $ 604 .83

ADD TOT 4 MONEY TAKEN IN THIS PERIOD

Schodulo : Cash Contribution; total (Attach Schedule A) ('also see In-kind below) . .., . ., . . . 16,000 .00
Schedule Loans Received total (Attach Schedule F) . . . ., . . . .. . . ., ., .  , . .  , . . ., . .  , .  . . . . .  , .00
Schedule : Total Sales of Campaign Property (Attach Schedule H) ., .., .... . .  . . . .  . . . ., . . . . .. .00

5 he u H a lie$ to didatns' Com e Only)

SUB-TOTAL . . .. . $ 16, 504 .83
SUBTRAC TOTAL MONEY SPENT THIS PERIOD
16,042 .88
Schedule ; Expenditures total (Attach Schedule B) (also see debts and loans below) . . . .
Schedule : Loan Repayments total (AJtrat:h Suliedule F) . ... . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . .. . . . . . . . . . . . . .. . . . ,00

CASH ON HAND a the end of this reporting period (if final report, balance must
be zero) ( ttach DR-3) . . . . . . . . . . . . . . . . . . . .. . . . .. . . . . . . . .. . .. .. . . . . . . .. . . . .. . . . . . . . ., . . . . . . .. . . . . . . . .. . . . . . . . ... . . . . . .-__ . .. .. . $ 561 .95

"UNPAID BILLS from Schedule D-Attach Schedule D) . ., . . .. . ., . . ., .., . . . . . . . .. . . .,. . . .  .  , . ., .., .  , ., . . .  .,$ ,00
'IN KIND CONTRI u - 17UNS (From Schedule e - Attach Schedule E) . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $, __ .0 0
"OUTSTANDING OANS (From Schedule F-Attac11 Schedule F) . . . ., ., . . . .  , ., . ., .. . ., .  ,$ . 00
OANDIDATE COMM TC 8 Y_
CONSULTANT BR AKDOWN (Schedule G Attached?) YES _X NO
VALUE OF CAMP 13N PROPERTY (From Schedule H - Allach Schedule H) .00
For Instructions, no Back of Form SCHEDULE
A MONETARY
(Kav . Ut9/57) RECEIPTS

FRI CHECK THIS BOX IF

COMMITTEE NAME (Must be aamc ao on Stst+ement of Organization) AMENDING FORM
EMILY's List - A

CAUTION: Section 6 6 .92A(6), Iowa Code, prohiblta the use of information copied from reports and statements for soliciting contributions or
for any commercial pu oae by any person other than statutory political committees .

DATE P C 1D MBER NAMI_ AND ADDRESS O1"CONTRIBUTOR RC-AT10NEHIP AMOUNT J IF FOR

RECEIVED Irapviftable) TO CANDIDATE' RECEIVED FUND-
(MM/t]D/YR) A D PAC CHECK ((f applicable) RAISER
NUMBER INCOME
Delight Dodyk
08/06/04 34 Maynard Court $2000.00
Ridgewnnd, NJ 07450

Ells Delassus
08/06!04 ,, 3935 Weber Rd 500.00
St Louis, MO 63123
ION Ruth Lord
09130/04 190 Saint Ronan Street 1000 .00
CK New Haven, CT 06511
ID#~ M Quinn Delaney 0
10/08/04 469 Ninth Street #210 5000 .Od
CK Oakland, CA 94607
ID Shirley I Tort
10/8/04 cK 1380 Millbrae Ave 2000,00
Millbrae, CA 94030

Jane Toll
10/8/04 Box 410 Sugan Rd 2500,00

0
Solcbury, PA 1!3963

Judy Honig
1018/04 9911 Depaul Drive 1000 .00
Bethesda, MD 20 :317 '
- Katie Sammons
10/8/04 6606 Belmont 1nnn .on
Hoouston, TX 77005

JoyannA Mills
10/8/04 40W665 Gande Monde Drive -I coo-oo []
Elburn, 1 L 60119

SUB-TOTAL
16,000 .00
TOTAL (if last page of this s chadule)
S 10,000 .00
Disclosure law requires candidate committees to disclose the relationship of any r6atlvo making a contribution to the
committee . Relatlonahlb must be shown to the third degree of corsaengulnlty (blood reletlves) and nfrlnlty (ralsfvoa by
marriage) (Sea Page 2Iof rumm packet.) . If ournamo of conMtsvtor is 1110 4emr. an randldotte ;but there Is no Page 1 of
famlllal relationshlp, el,iter'not applicabla' In the relationship column . r c edu eA)
 SCHEDULE
B
RES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rov.09/97). I MONETARY
EXPENDITURES
; FSs NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLAI IVE
STATE PAC COMM'
CANDIDATES, LISTTH6CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER F R EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ErHIC3 & CAMrAICN D'CLOBURS
1 BOARn .

(Must be same as on Stafernent of Organization)

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE ID N MBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (If 0 pllcable) (olsbudwmonr) WAS MADE
(MM/DDIYR) AND PAC .
C ECK
N MBER
ID# Delta Airlines In Kind Travel to Laura Sands
07/24104 PO Box 20706 for State Senate Campaign
CK# Atlanta, GA 30320
$ 342.88

ID# Madvic Tolentino

3583 Ruffin Road #110 In Kind Staff to Laura Sands 175 .00
07/30104
CK# San Diego, CA 92123 for State Senate Carnpeijin

lD# Bank of America

0.00
07/31/04 PO Box 317 Service Charge
CK# Des Moines, IA 50304
ID# Marivic Tolentino In Kind Staff to Laura Sands 750.00
08115/04 3583 Ruffin Road #110 for State Senate Campaign
CK# San Diego, CA 92123

ID# Bank of America Service Charge 10 .00

08/31/04 CK#
PO Box 317 .
Des Moines, IA 50304
IO# Marivic Tolentino
3583 Ruffin Road #110 IN Kind Staff to Laura Sands r .00
750
09/15/04 for State Senate Campaign
CIG# Des Moines, IA 50304

117# Hana Veselka

3429 South Wakefield Street In Kind Staff to Laura Sands 695.00
09/23104
CK# Arlington ; VA 22206 for State Senate Campaign

I D# Bank of America Service Charge 10 .00

09130/04 PO Box 317
CK# Des Moines, IA 50304

SUB-TO7AL $ 2,742_88

TOTAL (if last page of this schedule) $

THIS BOX APPLIE TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain ampalgn property costing $500 or more must also be Inventoried on Schedule H. (REfar to Schedule H Instructions.)

Expenditures to pera s/enlitles providing consulting, advertleng, fund-raising, polling, managing, organizing cervices must also be detail Itemlzeu on
Schedule G by the a ount, purpose, end date of eaoh type of expondllure made by the parson/entity on behalf of the candidate's commhtoo . (Refer to
Schedule G Instructlo and Iowa Code 55 .6(9)(1).)

(for Schedule 8)
 FOR INSTRUCTIO S, SEE BACK OF FORM I, i : a~ ,lr,Z; ~strx '`I SCHEUULL

EXPENDITU - ES -- MONEY SPENT FROM COMMITTEE ACCOUNT g MONETARY

(Rev. 07/03) EXPENDITURES
STATE PAC COMMITT. FS: NOTE : FOR CONTRIBUTIONS MADE To STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE ANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS 60X IF
PAr, rHFCKNUMBER F6!R EACH EXPENDITURE A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DI CLOSURE BOARD,

COMMITTEE NAME (Must be same as on Statement of Organir aflon)

EMILY'S List - I
CAN (DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE 10 N MBER EXPENDITURE (DESCRIBETRANSACTION) EXPENDED
EXPENDED (if ap Ilcable) (plsbursomonfl WAS MADE
(MM/DD(YR) AN PAC
C ECK '
NU DER
ID# Runkel for Representative
10/7/04 3970 Vail Ave Contribution 1,000 .00
CKiF Story .City, IA 50248
IDt# Citizens for Richards
1017104 2965 Winston Circle . Contribution 2 .17100 .00
CK# Marion, IA 52302
ID# 3anda for State Senate
10/7/04 2922 37th Street Contribution 2,500.00
CK# Des Moines, IA 50310

ID0 Citizens for Wessel-Kroeschell

10/7/04 518 Ash Avenue Contribution 1,000.00
OK# Ames, IA 00014
ID# Citizens for Cammie Pohl
10/7/04 1216 N Concord St CnntrihutiOn 1,000 .00
CK# Davenport, IA 52804

10/7/04 lp# Dawtl's List

Contribution 8,000.00
937 37th Street
CKiC Des Moines, IA 50310 .
ID# Marivic Tolentino In Kind Staff Laura Sands
10/7104 3583 Ruffin Rd #10 for State Senate Campaign 800.00
CK# 5an Diego, CA 92123

ID# .

CK#

SUB-TOTAL $13,300.00
TOTAL (if last page of this schedule) $ 16,042, 88

THIS BOX APPLIES TO CANDIDATES' COMMITTEE$ ONLY:

Purchaeos of rnarialn mRaign pro0erty coating $500 or more must also be Inventoried on schedule H. (Refer to Schedule H Instructions .)

F-xpenditu" to perso slentitics providing consulting, adverllslng, fund-raising, polling, managing, organizing services must also be detail Itemized on
$ohedulo G by the am unt, purpose, and date of each type of expenditure made by the personlentity on behalf of the candldate'a committee. (Refer to
anhoduto G lnstnu0o s and Inwa Code 881 .402(3)(1) ,

Page -2 of 2

(for Schedule B)