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

12/1005) REPORT

For Office Use 20


Comm. a
IMPORTANT: ir cate WY # type of committee you are repo6ng for Logged In
(1 )Statewide/Legislative/judge Standing for Retention Candidate (2 Mf: ~ SURE
Scanned
(4 )County Central Committee (5 )County Candidate (6 )City Candidate 7 )School fjoar+d or Other

5~
Political Subdivision Candidate (8 )County PAC (9)Ciy PAC (10),Sc~ Computer
Subdivision PAC (11) Local Ballot Issue t f7 1G :
Audited A . c. ~-
" 1y1
Candidate Name Political Party Of applicable) File with :
C)CS6d C7&4ft'l hMdcra~ lava Ethics and Campaign
Disclosure Board
Office Sought District (of Senate or House) 510 E . 12"', Ste .1A
1owA Myvse _ 1- Des Moines, Iowa 50319
Fax :51 5-281-A073
Late reports are subject io possible civil and ai nirtal penapies. Pursuent loo lows Code section 68B.32A(7)
the candidate, for a candidate's committee, and the chairperson, for any oRpjAyVF9ZR&f 099, is the SIGNATURE OF PI3tSON FtJNiG
individual responsible for fiRrtg timely and accurate reports. R13PORT
TELEPHONE
DATE SIB
sl30 0 53-`50-6146
I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.
(report date) Indicate by #

'JCHECKIFAMENDMENT TO REPORT OATED G1210 (4# Local Committees, enter Date of Election

0 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 Me reports until a DR-3 is tiled .)
which Election is held

STATEMENT OF CASH ON HAND


all
CASH ON HAND at the beginning of the reporting period. (Total of fund held by the
corrnhillee . This amm nt MUST be the same as the cash on hand at the end
of the lost reporting period or mast be zero tithis is first report filed.) . . . ... . .... . .... . . .. . . . . .. . . .... . . ... . . ... . . ... . .E

ADD TOTAL MONEY TAKEN N THIS PERIOD


Schedule A: Cash Contributions total (Attach Schedule A) (`also see in-Idnd below). .. . . ... . . ... . . .... . . ... . 745 . oo
Schedule F: Loans Received total (Attach Schedule F) .. ..... .... . . .. .. . . ... . ._.. . .... . . ... . . ... . . .... . . ... . . .. . . .. .. . .... . . .
Schedule H : Total Sales of Campaign Property (Attach Schedule H) .... . . . . . ..... . ... . .... . . .... . . .. . . .... .... . . . .. . . .
(Schedule H applies to Candidates' ConwnAtees Only)
SUB-TOTAL. ... .... . ..: 5,7_ &A . b5
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) ("also see debts and bans below).... . . .. . . .... . . .. 2i ~ Z.g . ~o

Schedule F: Loan Repayments total (Attach Schedule F) .. . . . .. . . . ._. . . .... . .. . . . . ... . . ... . . ... . ... . . . ... .. .. . . . .... . . .. . . ._ .

CASH ON HAND at the end of this reporting period (if Anal report balance must
be zero) (Attach DR-3) . ... . . . .. . . .. . . . . ... . ... . . ..... .. .. . .... . . .... . ._. . ..... . .... . . ... . ... . .... . . ..... .... ._... .. .... . ._._ . . ... . . . ... . ... . . . ..5 3,o3'7 .a4

-U11PAD BILLS (From Sdheduule D - Attach Schedule D) . . . .... .._ . . ..... . ... . . .... . .... . . .... ..... . . .. . . ... . . ... . . . ... . .... . . ... . . .. . . .. . .5 1_
"Bit KND (From Schedule E - Attach Schedule E) .. . . ... . .... . .. ... . ... . . ._.._.. . . .... . .... . . .... . ... . . .... . ... . ....3 SgrJ " Oa
"'OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .. . . ... . .... . . ..... .... . . ... . . .... . . .... . .... . . ... . ... . . ..... . . . . . .... .5
CONSULTANT BREAKDOWN (Schedule G Attached?) - YES NO

CANDIDATE COMMITTEES ONLY


:
11400
VALUE OF CAMPAIGN PROPEtTY(From Schedule H - Attach Schedule H) $

STATE COMMi7MS: Submit a reconciled campaign account bank statement t Jarwary of each year.
FOR INSTRUCTtONS, SEE BACK OF FORM FORM
_ DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Mustbe same as on Statement of Organization) (Rev 1212005) REPORT

For Office Uso Only


Comm 0
IhIPORTANT Imd1cate cy a tree of cor,mItteo you are rrpening lcr:
t t tStatnwsce Leg+slaliv2iJUaga S" andmg for Retention Candidate ( 2 )Slate PAC ( 3 )State Party
U t-oggeo Irk
Scannea
1 4 jCeunty central Commalee ( 5 )County Candidate 1 6 )C , ty Candidate (7 1School Board or Other
Pal,tical Sutaivtsior Candidate (8 )County PAC ( 8 )C~ty PAC ( 10 )Schod Board or Other Pohtrcal Corrputer
sior PAC ( 111Local Bat(n( Issue _
Audited
ANDI T -MMITTEE
COS LY:

Carxidatr: Name Political Party (if applicable)


File with :
Vi ..She ~.rirnUr
iwwo m~ -
Iowa E(hics and Campaign
Disclosure Board
0ffico Sought District (4 Senato or House) 510 E. 121", Ste 1A

l o uki Des Moines, Iowa 50319


Fax: 515-291-3701
Late reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code section 688,32A(7)
the candidate, for a candidate's committee, and the chairperson, for any other type of committee, is ft
I resfPaei e orfilrng ti fy and accurate reports

'513 -~50 - 61 gO C i o&


TO-EPFtONE DATE-SIGNED

I AM FILIIJI, A 6f)'lo(o REPORT FC)R (1) ELECTION I(2)NMELECTION YEAR

(report dale) Indicate by #

CHECK IF AVU4DtirrTT TO REPORT DATES Local Committees, enter Date of Election

0 Check if thus is final (ten»Ina(inn) report ancj attach tJat, ', , ot01 ssciulion. Forrn. QR-3.` -
County b Lacal Cornmitlee3, enter County in
file reports
(You must continua to a DR-3 is filed ) unji) which Electron is held

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Tc(al of all funds held by the
committeo. Ttue 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 fist report fled .) . . . . . . . . .. . . . .. ~~o-7a 49
ADD TOTAL MONEY TAKEN IN THIS PERIOD
_178:; ' AA
Schedule A, Cash Contributions total (Mach Schedule A) ('also see in-kind below), ., . . . . . . . . . . . . . . ... .

Schedule F Loans Reoeived total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . .

Scct .edulo H, Tot31 Sales of Campaign Property (Attach Schedule ri) . ., . . . . . . . . . . .


to Candiditea ^ gmmlttoex Only)

SUB-TOTAL . . . .. . . . ... .... . . . .. . . . 5 5g

SUBTRACT TOTAL MONEY SPENT THIS PEP100

Settee-dulo 8 Expenditures total (Attach Schedule B) ("al-=o see debts and loans below) . . . .

Schedule F: Loan Re pay menN tot:n1 (Attach Schcduf_ F) . . . . . . . . .

CASH ON HAND at the end of this n?porting period ((f first report balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . ., . . . . . . . .$

"UNPAID BILLS (From Schedule 0 - Attach Schedule U) .. . . . . . .. ... . .......... . . . . . ... . . . . . . . . . . . . . . . . . . . . . S

'1N tgND CONTR16tIIlONS (From Srjredule E - AfaCh S-tedule E) . . . . . . . . . . . . . . . . .. . ..

,,OUTSTANDING LOANS (Frovn S;tvodule F - Attach Schedule F) . . . . . . . ., . . . . . . . . . . . . . ................. ...... .. . -.

CONSULTANT BREAKDOWN (Schrdule G Attached?) -YES

gAN Ip6TE
C _M ttpTT[ES ONLY;

VALUE OF CAMPAIGN PROPERTY (From Schedule H - F~taJ) Schedule H)

$TATS CO MMITTEES Sut>rnit a reconciled cempa1n :axourd bark statement in January of each year .
For Instructions, See Back of Form SCHEDULE
Reaet Fomt
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07103) RECEIPTS

a
tin-Juding canddate's pervnsl funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Oi ;ganization) AMENDING FORM
Elesha Gad maa for Iowa

STATE CANDIDATES NOTE : IF A CONTRIBUT'ON I$ RECEIVED FPOM A STATE PAC (POLMCAL ACTION COMMITYEE), LIST THE PAC IDENTIFICATION

NUMBER A,NO THE PAC CHECK NUMBER IN THE OF SIGNAI ED COLUMN . A LIST OF ID NUMBERS IS AVA,LABL E FROM T VIE IOWA ETHICS AND CAMPAIGN
DISC -OSURE 60ARD.

NOTE . ANY PERSON, OTHER THAN AN INDIVIDUAL THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT TILE BOARD .

CAUTION : Secllon 688 32A(6), prohibits the use of Information copied from reports and statements for soliciting contributions of for any
comfner6Jl purpose by any person other than statutory political committees .

DATE SAC ID NUMBER ~!F_1,~ISI-1rLti7l~DTfE SS OF CONTRIBUTOR RELATIONSHIP A!T[KI1NT 4 IF FOR


RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUN'S
(MWDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
lo#
Jim Wilson $200 .00
5 . 19i0ti
CK# 2813 Scenic PL - West Dcs Moines, IA

-- ID#
John Crabtrcc $25.00
5; 19 .'06 CKd PO Box 22-1 - Lyons, NE

ID#
Dr . Joc Scng 525 .00
S:''0%06 C Kit 4804 Nortbae;t Blvd . - Davenport, IA

Undisclosed 515 .00


5- U ;UG CK#

IDit
Diane McCarthy $30.00
5'20%U6 CK# R 19 17th Street - Rock Island, IL

Undiclosed $15 .00


5'20,'06
s' C K#

ID#
Joyce Singh $50.00 ./
5%20-06 CK# 2:3055 260th Avenue - LeClaire, iA

Cathy Weidcrnan $30.00


5/'10,'06 CK# 6800 Jcrsv Ridge RD - Davenport, lA

!_- ID#
Sheri & Tom Carnahan 525 .00 ,/
-2U Ub CK# 200'1 Emerald Drive - Davenport, IA

ID#
Lou &: Joe Wacchtcr S,,;0,00
CK# 2127 Marq,actte ST - Davenport, IA

SUB-TOTAL

TOTAL (if lest page of this schedule)

' DI zIOP,ilre taro rPQuirt s candidate ClOmmlttde5 L~) disclose Ne relationship of any nlative making a contribution to the
c ;cmrrittc Rel`t,onshlp mue.t be shown!() trip lhlrd degree or ronsangl1InITy (blood relativesl and afr~nlry (r~atiws by
manage) If sumarna of contributor is the carne as candidate, bu(lhvre is no Page l of
fcmill-al relationshp, enter'not applicable' In the relationship column. (for Sched u;eA)
For Instructions, See Back of Form SCHEDULE
Reset Form
CONTRIBUTIONS -- MONEY TAKEN IN
A MOt-IETARY
(Rev . 07103) RECEIPTS
(Includ,ng eandidn1e's perscnal funds)
E] CHECK THIS BOX ;F
COMMITTEE NAME (Must be same as or Statement of 0 gsniratlon) AMENDING FORM
FIesha 6ayn - an for Iowa

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECENE0 FROM A STATE PAC (POLITICAL ACTION Co!MklITTSE), LIST THE PAC IDENTIFICATION
NUMBER AND TI (Et PAC CHECK NUMBER lu THE DESIGNATED COLJIAN . A LIST OF fO NUMBERS IS AVAILABLE FROM THE IOWA ETHICS ANO CAM :fJGN
DISCLOSURE EOARD

NO -I E. AN`! PERSON, OTHER THAD4 AN INDIVIQUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY NAVE FILING
RESPONSIBILITIES AND SHOUID IMMEDIATELY CONTACT THE BOARD

CAUTION : Section 6it8 32A(6), prohibits the use of information copied from reports and statements for soliciting contributions or for Dry
commercial purpose by any person other than slatulory political committees .

DATE _ tot UMB -l :Llulx~ldL~TJ~L1:1 `I3~~F CONTRIBUTOR RELATIONSHIP' AMOUNT IF FOR


RECEIVED ' (if applicaNe) TOCANDIDATE' RECEIVED FUND
(MMIDD1YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

L7
./ -
ID#
Carol & Davc Brown $50 .00
5/20 :06 CK# 1775 Plymouth DR - Bertendori, lit

ID#
Anne Corbi 525.00 J
5' :'0'06 CK# 629 Brown Street - Davenport, L4

Monica Kurth $50 .00


S,°u .oh CK# 1933 N. Nfarquette ST- Davenport, IA

ID#
Undisclosed
5 ?0.'OG CK#

ID#
Undisclosed $20 .00
/%20;06 CK#

ID#
Undisclosed $10 .00
5/2U:Oti C K#

IDA

5;'20,06
Undisclosed 520 .00 r
CK#
-
Ids -
Undisclosed $10.00
512W06 CK#

ID#
David Schultz $30 .00
5 2006 + CK# 1509 Judsun S T - Davenport, lA

TD-
#
R-ita Var_ra ; 5?5 .00 t/
5 ;'22)06
CK# 2724 I .eClaire ST - Dav mpom fA

U B-TOTAL

TOTAL (if last page of this schedule)

Olsriosul~ IB- require ; cand oa(a C0Mmittcrlos to disr;lev~ the relation ;rip or any relative rnakirg a contriMon to trtc
mmmitlc"e Re;'~Ututship rr.urt DQ snoArr1 to the third arlree of coneanqulnity (bfoo4 relatives) and affinity (relatives by
mrn3ge) . If surname of contributor is the same as candidate, lift trlrto IS no Page of
(for Schedule A)
familial relntions,~ip, enter "rv,t applicable' in the relationship column .
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev . 07103) RECEIPT3
('nchd n ; candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Otganizationl AMENDING FOR%1
Flcsha Gayinan for Iowa

STATE CANDIDATES NOTES IF A CONTRIBU rION IS RECE VEC FROM A STATE :Ar, (POLITICAL ACTION COMMITTEE). LIST THE PAC IDENTIFICATION
Nt}(,1PER AND Tstrt PAC CHECK NUMBER IN TI--E DESIGNATED COLUMN . A LIST OF IO NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE- t".0ARD

NOTE : ANY PERSON, OTHER THAN AN INONIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING
RESPONSIBIL171FS AND SHOULD IMMF.DIATELY CONTACT THE BOARD.

CAUTION: Section eAB 32A(6), prohibits the use of Information copied from reports and statements for soliciting contributions or for any
commercial purposo by any person other than statutory political committees .

DATE PAC I NUM RELATl IP :f IF FOR


RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MVJDDIYR) AND PAC CHECK (if applicable) RAISSR
NUMBER INCOME
ID#
Helen Nliller $25 .00
5'2
- 3 .'06 CK# 19?6 15th Avenue N - fore Dodge, IA

ID#
Sue Frembgcn ~ 25,00
S'30'OG CK# 1033 Kirkwood Wvd, - Davenport, IA

ID#
Undisclosed 5?0 .00
513 0 ;06 CK#

ID#

CK#

ID#

C K#

a
ID#

C K#

IDd

C K#

ID#

C K4

ID#

CK#

CK#

SUB-TOTAL

TOTAL (iflast page of this schedule)

or making a COnVLC4Aion to the


- 0~ ;.osuro ION fea4ires candidate Comtpltt~ilav rro divar,~e the rehb  n3rup any relative
comet n^e Relailcn^hip must be enown to the third degree d cawnsan9JInItY (blood relatives) end affinity (rvabves oy
m:rnagc) If sumame of con ..nbutor is the same as candidate. but there is no
farnilial relationship, enter'not applicable' in the relationship Golumn .
I
C: .

FOR INSTRUCTIONS . SEE BACK OF FORM Rer3et Form

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT


STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CAN D'DATES. LIST THE CANDIDATE IDENTIFI(:AlION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMEERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS k CAMPAIGN DISCLOSURE BOARD

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


Elesha Gayman for Iowa

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE ANIOU"+T


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (If applicnb'e) (0ishursement) WAS MADE
(MIADD,-~R) AND PAC
CHECK
NUMBER
I D#
Carter Printing Yard Signs
5/16/06 Dcs Moines, IA $ 894,38
CK#Electronic

I D#
Carter Printing T-shirts
;I1 G,'OG Dc; :Moines, TA $503 .72
CK#Electronic

I D#
Lancers Grill Day of Action Volunteer Luncheon -
S; 17,06 Eldridge, fA Training X122 .81
CK# Electronic

1D#
Review Println0 Campaign Litterature
5'17 ;06 Rock Island, IL $379 .0(1
CK# 1026

ID#
USPS Postage
s!19,'Gf, Davenport, 1A $14 .40
CK#I:,Iectrnnic

ID#
Go Daddy Online Service Fee
5124 .'06 Scott .sdale, AL $11 .46
CK#Elcctcontc

ID# Menard5 Yard Sign Supplies


S'30,JOG Davenport, IA 14, 29 8-_S
CK#Electronic

ID# USPS Postage for Mailing


5./3106 Rock Island, IL 5576 .00
CK# 1003

SUB-TOTAL

TOTAL (if last page of this schedule)

FTHIS BO)( APPLIES TO CANDIDATES' COMMITTEES ONLY .

Purcha as of ceilain campa!gn property wsllng $500 or morn, mu i also be Inventoried on Schedule H. (Refer to Schedule H Instruction, .)
organizBv3 services must also be detail iLemited on
E>;pendilure ; to Persons/01"W105 providing consulting, advertising, fund-raising, polling, managing, "nd,dwe's comm ttee, (Refer to
Schedule G oy ti-,u amount, purpose, and date of each typo of expenditure made by the petsoNenLty on behalf of the
Scht^dole G instructions and Iowa Code 69A 402(3)(1) .)
P300 _I of ..2-

(for Schedule B)
FOR INSTRUCTIONS . SEE BACK OF FORM SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY
(Rev . 07103) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES . LIST THE CAND'DATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPEVDITURE A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHK',S t1 CAMPAIGN DISCLOSURE BOARD

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

Elcsha Gayman for Iowa


CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPEND'TURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (OSb4jrscmenf) WAS MADE
(MMIDD+YR) AND PAC
CHECK
NUMBER
ID#
Revim Printing Post Cards for Primary Mailing
5131 ;(16 CK# 1002
Rock Island, IL $ 157.50

ID#
Papa John's Volunteer Food
5i_,1!00 Davenport, TA $30.00
CK# 1004

ID#

CK#

ID#

CK#

ID#

CK#
-
ID#

CK#

ID#

CK#
_
ID

CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :


H Schedule 14 Instructions .)
Purchaser of ccr1aln campaign property cosUng x500 or more muM a! ;o be Inventoried on Schedule . (Refer to

Expenditures to pemon:~lentiljes provldng consulting, advenisrng, fund-raising, ponmg, managing, organlzlng services must also be detail
itermzed on
Schedule G by the amount. purpose. and dale of e30s r type of expenditure made by the pcrsoNentlty on behalf of the candidate' r~mmiuee . (krfcr to
5cnedule G In>t,ructions and Iowa Code 68A.402(3)(r) .)
1')
Page -,_
of -

(for Schedule B)
~r
-r F,: .'1;- .

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE


E I14-KIND
COMMITTEE NAME (f fust be same os en Stafenneni of Organization)
,(Rev . 06197 CONTRIBUTION :;
F lesha Guyman for lows

[] CHECK THIS BOX IF


AMEND ;NG FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED v IF FOR


RFCEIVED NAM=_ AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(KIMIDO.r'~R OF CONTRIBUTOR applicable CONTRIBUTION VALUE CONTRIBUTION
6
Alta Price Fundraising, food 845 .00
j120iOti 4533 Schoolhouse RD - Bcttcndorf, TA J
location, entertain.

Scott County Democrats Office Space 50.00


5i21 106 1416 W. 16th ST - Davenport, TA

a
0
0
F1
a
-

F1 -

SUB-TOTAL

TOTAL (if last


page of this
schedule)

'Disclos,ire law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page l of l L,' _.-
commiten . Relationship must be shown to trte third degree of consanguinity (blood naativer) and offinity (mtatives (for SGi1~dUle
by nmriogc) (See Page 2 of fo(m; packt+t ) It surname of contnbutor I$ the same as candidate, txit there la no
familiil re Iatiorship . enter - not apptlcable' In the relation ;hip column .
FOR INSTRUCTIONS. SEE SAC-h, OF FORM
SC=HEDULE

THIS FORM IS USED BY CANDIDATES' COMMITTEES ONLY H CA:'PAIGN


(R:v . G7(03) PROPERTY

COMMITTEE NAME (ft'us' be sarrre as cn Sratament of Ofganization) ATTACH SCHEDULE H TO


EACH REPORT, MA)UNG
Fleshy i,-ayntan for Iowa
CHANGES AS REQUIRED .

® CHECK THIS BOX IF


PART I - ONGOING INVENTORY OF CAMPAIGN PROPERTY PART 11 - SALES OR TRANSFERS OF CAMPAIGN PROPERTY " AMENDING FORM

Date Purchased
(Schedule B) Purchase Current
or Date Rece ed Description of Property Price or Esl. Value at 179'u Dire Name and Addruss of PwahaseriDonce Description of Property Sold? Sage V3'Le o1
(Sctwduia, E) Value 'A11en blaticet This (h1A'UODIYR) YIN Price Donation
(Mf1lDDJrYR A uued - Report

computer :aaJ
711rOf, Softwarr
1,500.00 1,200.00

1'rinter

1111C6 $225 .00 5200 .00

i
s
1

TOTAL VALUE CAVPA(GN PROPERTY THIS RER7RT PROPERTY ALES & TRANSFERS TOTAL TOTALS ? 5
(TRANSFER TO SUMMARY PAGE) $ (TRANSFER TO SUNWARY PAGE) $

It eslrralM, show esf. teside f~,,Ure . (Attach Addit nn~ SutiedU!, if Needed) Paga ` of paw
,For S~edOo H)

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