Professional Documents
Culture Documents
Disclosure Summary Page C'0 - . R: DR-2
Disclosure Summary Page C'0 - . R: DR-2
Routine Penalties Due For Late Filed Reports Range from $20 to $800
El 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 Notice of Dissolution is filed .)
SUB-TOTAL . .. . .. $ 3S 4 (o , O ~
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . .. . . . . . . . . . . . .. . . . . . . . . 8'-1 ~ , t7 S
Schedule F: Loan Repayments total (Attach Schedule F) . .. . . . . . . . . . . . . .. . . . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . .
CASH ON HAND at the end of this reporting period (if final report, balance must ~ I r
be zero) (Attach DR-3) . . . . .. . . . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . ... .. . . . .. . . . . . . . . .. . . . . . . . . .$ .Z.~
CANDIDATE COMMI,TTEESONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY_ (From Schadute .H -Attach Sdiaduie H)
For Instructions, See Back of Fc SCHEDULE
A I MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(InGuding candidate's personal funds)
CHECK THIS BOX IF
CFMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
p .+n NL r r ,~ .7-b
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE 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/DD1YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# TvL.k."{
tZogfi.a.r G ,
CII~~oI CK#
s~IT-E ~'
RQL PLAz.n .
30o warr~.." .~r sr .
$ zs' .ou
M o L,~1E. LA S'03o
ID# Jew, C. . `r'A .r
to (°1let CK# Z9Z4 C'SC~t~ew~ 2 . ArVC . zoe .oo
4r-AL+ S =A sy o Lo
ID# ~aK L. 1:7 ,sirA
to ItI,Iel CK# I9oZ Gatrmtaz, At--r-- ,j Ava . roo , ob
AMc =A to
ID# ST'[ ., e.iLY L . ~.r iZteZ. R
te1lblbl tez"% C-Md5r-kt,. St-+zL,r~.r so-Do
CK#
Arnt =A o to
ID# T tz
. A,., b (`11AR to nl p
Q t.e wee .J
10 1 11-1111 4 -Lgoo tj . ~A~e~ i~tvL . So .oo
CK#
A~~ S Y o t
ID#
to (I~IeI 311 S . t~Jt~"'." rtt J\.rL . Z~_oo
CK#
A..-. L MA S c o L "{
ID# 1 Rr.tA,tz,p A..+O
t° (1-11" 1 CK# sb .oo
Aw.arS T"A svot~
1D# LArtR4 1,,4 " LAiLy " nt
to 10 lot CK# P.O . Z1.o Y_ Izz so . eo
S~ .A, ~-GIZ rA oZ t-I
ID# A,db NIAW " tU, Wv,.J~,A
to I17~ " 1 IOtZ Fi .rr1'ztwGiL ~R . , oO .oD
CK#
-- Ana-., MA SDolo
ID# JtrrG.IL L*r.PLRtsA^j
11 7-0 )14"' S . zs,oo
I " Itl~el CK#
300 =A Soo~lo ".
SUB-TOTAL
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 a" (relatives by
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no paw of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
IFor Instructions, See Back of F SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
[] CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
0 "`^ .4~_ 1 T -K_; F` To r-
,- y i-_ r LIS., f--1 , JDE ...IS
STATE CANDIDATES NOTE: IF ACONTRIBUTION IS RECEIVED FROM A STATE 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 anyperson other than statutory political committees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicaW) TO CANDIDATE' RECEIVED FUND-
(MMIDDYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 1AAwe.-( ANt,. Maeq No
to1r "1101 t'53_7 L1 .AbL r t 'DB " 'C $ 100 .00
CK# S
4t.-Is . =A '-ootts
ID# AR.rr,,ni 'T: Ttlto,w.~LlAteL~ .rJ
t . 19,01 IIZz Z-%r" STPL.r-- r ~O .oil>
CK#
A r+n E $ , L- A S", o o l b
ID# Co r,r,.tltt ~. ~AnISir~-ew
1 0 110 101 CK# 310 $ 'r~z oSPC~T ~ . sip . o0
'bras Mol ..,L =A -5-plo t,
ID# N1paw-t AN..l AM, AAJ ,. LVN"
1617.101 CK#
y3l to P~-IGC. .J , A sT . ZS . CO
AM~s r 17A snot
ID# L. T3 r1-i
Ar .,.r ~Ii
to/tzlot Sz4 7,,m OAv_ be. Z5 .oo
CK#
Arks =A ooto
ID# Aaaew-k,C w . A .,o JAOircl; q .R . .
z'-~Tw c
am . . Z 0 .00
3o?.
ielzt ./o1 cK#
qr..~s
ZA svoio
ID# -AvR~C s,,F- O%-K
r i'L
r e ~t 7 la I $t S P, me wr A PT. S " 00
CK#
AM ES, 1-A CFO C4
ID# %IALlorN0- Awto L . . .,pA L, .4o
? o, ISO V. Z3`l 'to .00
r " tlt7/ " r CK#
ot.Da . ." =.A S'iDZrZ
ID# I'So NN I E. A ."Jb ~Itl:--( D, ti
Dlaclosure law reAukm candkiate conrolmslo disclose .therelationship of any relative making a contrWlon to the
committee. Retatlonship must be shown to the third degree of consanguinity (blood relatives) and affinity (relattves by
marriage)of(See Page 2 of form packet.). If surname of contributor Is the same as candidate, but there is no page Z
familial relationship, enter "not applicable' in the relationship column. (for Schedule A)
'For Instructions, See Back of P SCHEDULE
A ( MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
O we wn r-~ fi: i'b 1 vt-c r ~5.~ r 1D~~S
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE 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' RECENED FUND-
(MMtDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
1 c IZT rc I 111 Ly wr I At vE . $ ZS . ao
CK#
Ar^F.S =A oo14
ID# A0fLtS W. POl:l.l
tobb Av .Z.o ", A At-
,t . 7- 00
te IZ7 /et CK#
AML S =A 5--0 C51-4
ID# ICoff, rF ra
C. Rla.t..a N.
i0l, P8to
ia1Z*7 IoI CK# "~ IS -o.o0
A rt^ r,y =A sv o r %4
. Apr . ;z 1
3-700 S " D 1AftC'( Av= 1 100 .00
to IZ7fof CK#
SkitA-,oriN FL 3-423
ID# L.AL.rt,rJ AND JA~+>; ~ALLI$JRTON
to(Z7Io1 IIZ$ ~OS{'vZ~-T 3o.on
CK#
AMP-S, =A soot C
ID#
s(oo~A~c .
I e 1Z 7'0I CI(#
30~~
' Disclosure law pxpkw candidate mlrnsittew to d dose the reladorstll of84y .rslattvs-making a contribution to the
committee . Relationship must be shown tothe third de" of consanguinity (Wood relatives) and affinity (relatives by
marttage) (Seeof Page 2 offarms packet .). If surname of contributor is the same as candidate, but there is no Page -
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
'For Instructions, See Back of Fr SCHEDULE
A I MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev.06197) RECEIPTS
(Including candidate's personal funds)
0 CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE 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 (ff applkable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applkable) RAISER
NUMBER INCOME
ID# JA,w"LS 1L . A rjt, 1GaR.t.,r+ F. bet.wyr
1017-1 f01 393 Scs-A. w tea . $ Zs .ev
CK#
LA
ID# Mdtt,rtrj S . A
.,jt, S1+%tt Z-f A . DAo.S
Ie Iz7 lot zolfZZ7oV-14 cor .
CK# 00
M aw,D T:4 Sn l slo
ID# JVL.tA G . CAiGL-^rjt,F,?
ICIZ7/o1 Z'LOO !-4A."wrr.rorl I>R . APT .70Z E5 . 00
CK#
Atr" ts =A Sool4
ID# SA VE CA-P16C'-`-
lotZI Ja IIZ CsARkSrsAo-1 PLITEO-S&" too .uo
CK#
Grt. mx ,xT ZA Solos
ID#
11 /S '01 CK# ,~ 19 STP-t.~ r So . 00
~LS Mor~GS ~A So31`I
ID# ~-Ai t -01. A, .Ap '),I t1-1 a . erlIll C~
Z.eo3 vwlu 6'r.
It IS /or CK# Ze .oo
1,
AADR .t, =A
S' u t Slo
ID# GCo Ft=Ry AbarL".o-t A
..r . .r ~ .~ i`41-4
C-CAbA L.tX"1~ , y.00
it 1rr IOM CK#
n~CS ~LA SoOtp
ID# Lt ,~A 1C . 1b 7-
I t 1S /ol CK# 39toto z,ooT~ SrRt,Cr So . o0
AMc.s ~A so o t ~
ID# t-Iew.gS L . ISEIS -
it''0'ot IZt1 QanS~.~~'-r (so .oo"-)
CK#
Ar-"Zs, ZA S'oolo
ID# JoAr.rr..A Co.jRTCAv
Il ~g~ol IIZp CAtzr-%CL.4
CK# 3S .oo
Ar -L S = A soo 14
SUB-TOTAL
Disclosure law repulres candidate committees to disclose the relationsW of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (reWWes by
marriage) (See Page 2 of forms packet .). If surname of contributor is the same as candidate, but there is no Page-ofto
familial relationship, enter "not applicable' in the relationship column . (for Schedule A)
Por Instructions, See Back of Fc
SCHEDULE
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE 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
ID# Abi~,A~ A I-A+, l`4A .4c. -( ~ ,.1 r.tCT r
Zc.oO
.AD
?- $
~~ /BI01
CK#
AM rs,~.~ZA
570s4
~)~-,,LT~T-L~ S . ~Ohlt-J lU4wl~
1 1 /19101 cK# 2 zz Z 47rtRR- -ORR . - t o , oO
AMcs X0010 _
ID# Lm"w, h4ut;r,<C~1 t ~
It IZl lei CK# "7!$S G~eer.~r ~A~Ilwlurs~ IAR~tit IZ.A . S'O .oo
-$Z ;t.T T-- A Olos
ID# ,
LAit¢ ( ~. A,-ib lc[il A- .,
It (Zmlet CK# 1902 "W" S"' . 50 .00
Nler"C o z
ID# b. Q. Vvb1> I " C wA ;L1_,.)
1'-110/01 200 W . &L--Z-C A .f~ .
CK# 5-06 . Gel
t A LLA F L. Z o1
ID# AAit;e,D M, Amb PATQ.~ A J, t~~,m
IZ1t ./o1 CK# 171% e- "-XtZ,,C AVL . Ze .0o
A--E4> . zA SDoio
ID#
ra" tc A .,b JEAN crrt S1"RO~b
IZ''1/ol CK# iTot SW I4r.w-tent AJZ . 10 .00
-0a S wt o i,.t s S rA 31 S
ID# 1'AI cA P-Aa .
CK# 745 . 00
-I ~'A 0oZ t
ID# 12K .AAie,~y/.1
' Q . Awb a.r&F- `JV_Z . ..$EIt Fi lww~ S
17, IIq IOI S~Z$ L,.DLdV"~pm1rC
CK# So " o0
Aunt S 7cA Soe 10
ID# Lx-jib Lr.SAT7L
mZ(b~,'er t
-~ ljg5
CK# "so . oc
J-Ov~A CIT~ 16 ZZ
SUB-TOTAL
g l70 eo
TOTAL (Ifs last page of this schedule)
Disclosure lawrepuires candidate committees tD dWD®e the relationship of any relative making a contribution to the f
committee . Relationship must be shown to the third degree of consanguinity (Mood relatives) and affinity (relatives by
marriage)
of (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page - '-' -(_
familial relationship, enter 'not applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of Fo SCHEDULE
A I MONETARY
CONTRIBUTIONS - MONEY TAKEN IN
(Rev . 06197) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE 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-
(MMIDDYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# t,IAT7L tt R. A,.tp MwAiEAL. J . \,J-.Lrt:.
rZ Ir~~o1 Z0 14% CCSL4A ST . $ ZS . 00
CK#
~A ~t7 o t
MA" Jx~rr ~. tJt Swo-c
ID#
Disclosure law r candidate committees to disdose.the relatkxtship of any relative making a contribution to the
committee. Reladonship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page L& of co
familial relationship, enter"not applicable' in the relationship column . (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
~TTT
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
N~-ev,~,bcrs st C.r~d~~- Cp s or~I ex~d
~/ lslo I I Lf23 ~~ S~-~t -
CK# 5001b s10,35
ID# N' tip- OP
a h log C, o ,~~ . w~-A >~~
-
ID# -
S 1q I''11't . .r
S~~m
1013/ol 41' $ 21 . q 0 1
CK# C)C)2 p.0 .13 o~c 8~7
: .mss , 50010
IOI~1DI I~
cK Ob 3
320' ~ttu~ Av~ Et~,v~lp~S ~
r~r`a;`
lir~S
~ ~ p, 4q
Avhn-65 a.H- sooto
ID# WOlI ww .rt- Labe,15 Oind S-l;c.~ers
fib( /o I 30tG &rCwA 4 -32-
CK# 10p NU-~ lis
y' ~eh ~ SoolO
1D# W Oka,llovieep rh.vi-nAan
10(510! p -15 . Zlo
CK# lpp5 1 I% 1~ Ave-
A-wtics th 50014
` ID# TO Mo.'s ~n nvtAaj-iQn
"lOw'
iolfo%~
52-5 K-et1039 a
CK# 100(.0
n-es ~wk smo
ID# -FC)5;4 K-061+-Cr -I .Ilowe ~~,tli+: ivl'1
LOll0~0/ '52-5 K.eA 10jg
CK#
Awle-s ~, SOOI~
SUBTOTAL $ r..) 01 O
TOTAL (If last page ofthis schedule) $
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
3 2b S~~s lu1u~
` ID# 4C, ~~~ ve l~es
~~ d Ps~- l~n~ C .t~~vl $ `5,
1011-7101 cK# JDOS 50010 q
~Yt
'°~ (rs~~ k - b b K
1011Cslol
CK# I ()C) Cl 5bwo
-5 00
A-M~ 1:16V
Io(ztplo ! ID# Ni h+- owl P''°J rams
Tr "AA",6rr
Purchases of certain campaign property costing 5500 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 56 .6(3)(1) .)
of
(for Schedule B)
tUl{ INS 1 t<UC 11UNS, SEE BACK OF FORM
SCHEDULE
i 1'b c T
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
ID#
CyCLonc Tri eL41rq )b~ +vg U soi
cK# Ibl 5DZ E . LiejC0JWWCAy
~P Anycs IA G0010
04 \N0AWw--r+
CK# tol -- I -+- YV10l .i lirLGJ
Z . I3
3A ,v\es~1b
IA l0jb lol ID# pw 1 F I i Cps -~- Jcan 1 I loatrfy ,
~~ 32
CK# Io I g 9ve_
iuir ~- UO1~
1 ~~I01
ID# waamc~a"f' E-+~,ve;t s Ck aye s
30 1 5 ~-t~.vd l~`re' ~.~ l I
cK# I Olq
ID#
tal-1doI 1~02 po - ~ l
M ~ It 4-Z-25
ID # 102-0 i v ~On.S
~5 -TA 5aolr~
ID#
CK#
I D#
CK#
ID#
CK#
SUB-TOTAL $ 1
TOTAL (iflast page ofthis schedule) $ O
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)
Expenditures to persons/enfties 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 56 .6(3)(i) .)
(for Schedule B)