FOR INSTRUCTIONS, SEE BACK OF FORM

DISCLOSURE SUMMARY PAGE

m
COMMITTEE NAME(Must be same es on statement of Organization)

lvo PA-_ P62

IMPORTANT: Indicate by # type of committee you are reporting for; L-9- 1
( 1 )Statewide/Legislative/JUdge
Standing for Retention Candidate ( 2 )Stale PAC ( 3 )Stale Party .
( 4 )County Cen l Committee ( 5 )County Candidate ( 5 )City Candidate (7 )School Board or Other
Political Subdi £ ,iY ndidate ( a )County PAC ( 9 )City PAC ( 10 )School Board or Other Political
Rbdi_vist
CAN DIDAT
Political Party (If applicable) File with :
Iowa Ethics and Campaign
Disclosure Board
Diatrict (If Senate or House) 510 E. 12"', Ste- 1A
Des Moines, Iowa 50319
Fax, 515-281-3701
Late reports are subject to nd criminal penalties. Pursuant to Iowa Code section 688.32A(7)
tl7e candidate, far a candidate's e, and the chairperson, for any other type of committee, Is the
individual responsible for filing timely acid accurate reports.

515 r 93 .3 ^ _9M4 P- 19- v(~

TELEPHONE DATE SIGNED

I AM FILING A 10- 19-0(" REPORT FOR ( LECTI (2)NON-ELEGTION YEAR .

(report dale) Indicate by # 11

[]CHECK IF AMFNDMENTTO REPORT DATED Local Committees, enter Date of 8lection

Chock 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 DR-3 Is flied,)
which Election la held

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.) . . . . . . . . . . . . . . . . . . .. . .. . . . . . .. . . . . . . .... . . . . .. . . . $ C3 0
ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A: Cash Contributions total (Attach Schedule A) ('also see to-kind below} . . . . . . ... . . . . . .... . . .. ..

GU
vv
Schedule F. Loans Received total (Attach Schedule F) . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . ...... . . . . . . . . . . . . . . . . .. . . . . . .... . . . . .

Schedule H: Total Sales of Campaign property (Attach Schedule H) . . . . .. . . . . . . . . . . ... . . . . . . . .. . . . . .. . .. . . . ..... . . . . ..

Schedtlig H aonlies to Candldate_s'

SUB-TOTAL ... . . . . ..... . . . ... . . . . . $

SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule B: Expenditures total (Attach Schedule B) ("also see debts and bans below). . .. . . . . . . .. . ., . .. Oo
Schedule F: Loan Repayments total (Attach Schedule F) .. . . . . . . . . ., . . . . . . . .. . ., . . . . .. . . . . . . . . . . .. .. . . . . . .., . . . . . .. .. . . ._.. OU
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) . . . ._ . .. . ... . . . . . .. ... . . . ., . . .. ., . ., . . . . .. . . . . . . . .._... . . . ._. ... . . . . ...., . . . . . . . . . . .$

`IN KIND CONTRIBUTIONS (Front Schedule E - Attach Schedule E) . . . . . . . .. . . . . . .. . . . . . . . . . .. .. . . . . . . . . ... . . . . . . . . .. . . . . ...... . . .. . . . . .$

"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . .. . . . . . .. .... . . . . . . . ..... . . . . . . . . . . . . . . . . . ... . . . . .. . . . . . . . .. . . . . .$ OU

CONSULTANT BREAKDOWN (Schedule G Attached7) NO

CANDIDATE CQMMrFTEES ONLY:

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)

STATE COMM ?TEES: Submit a reconciled campaign account bank statement In January of each year.
FROM PHONE NO . Oct . 19 2006 02 :20PM P2

SCHEDULE
For Instructions, See Back of Form
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including cendldate's personal funds)
U 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 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

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

CAUTION : Section 58B .32A(F), 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 .

DATA PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
60-~ S4 1~1- tedrqc,
_nn F I'll

D
CK# 13q(oq op «'c- CcrCle 60-K C- IU ~' $ 500-uO
R4-- cWtel JTA 502.33
ID#
Qz"t" WetSh~a r
CK# SS 5~ ?w kv\
~_o0 (o
f11 3A go S4 3
ID# fI-oo t5 io .oo Cm,'I- r6u+IC7VU
CK# one ~S~Pdr~'I`e titndl~tdUaIS tv (~- '-f ~) .o0 X
ID#
El s7_-6 ioerh (26l .fie..

2~ 0 ~ CK# %39(04 (+a t re e ,

d t ~
(ecE o X 33
Ip# - `

CK#

CK# Ln
ID#

CK#

ID#

CK#

CK#

ID#

CK#

SUB-TOTAL

TOTAL (if last page of This schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committoc, RClationship must be shown to the third dogrco of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor IS the same as candidate, but there Is no Page I of
familial relationship, enter - not applicable" in the relationship column- for Schedule A)