FOB? INSTRUCTIONS .

SEE SACK OF FORM

I
FORM
DISCLOSURE 5 MARY PAGE £?R-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 0112001) REPORT
ahol 1 -O l~ ~f~. Vl A, e- yj.7 t-,,
F Offlcs Use on ~ '

IMPORTANT: Indicate type of committee you are reporting for:

Comm . #
Audited
Indexed
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )CounlyfLocat Candidate
(5 )County PAC (8 )8allot Issue/Franchise Committee (7 )County/City Central Committee
-16
( a )Support Slate of Candidates Computer f.U
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party
David G . Lord Republican
Office Sought District (if Senate or House)
Iowa State Senate 39

3 515-465-ZaZA F-h --i3 - ?nn?

SIGNATURE OF TR SURER (or person filing Oft report) TELEPHONE DATE SIGNED

Routine Penalties Due For Late Filed Reports Range from $20 to $800

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE

:
I AM FILING A Feb . 1 5th REPORT FOR AN/A (1) ELECTION /(2)NON-LLECTION YEAR,
(report date) Indicate one 11
OCHECK IF AMENDMENT TO REPORT DATED, Local Cornmittees, enter Data of Electkn

[] Check if this Is final (termination) report and attach Notice of Dissolution Form DR-3. County a Local Comnotteea, enter Cot* in
(You must continue to file reports until a Notice of Dissolution is fried.) wiych Election is field
J

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (This Is the total of an monies 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 flied.) ... ....... ......................$ 3,827 .00
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-Idnd below) .....,. -8, X6,5 _fin
Schedule F: Loans Received total (Attach Schedule F) .......................................................
Schedule H: Total Sales of Campaign Property (Attach Schedule H) .. .. ............... ........... ....
(Soteedule H =piles to Candidates' Committees Onfvl

SUB-TOTAL-.$ 12,452 .00

SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ('also see debts and loans below) .:.
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) ....... . . . .. . .. . ... .. ... ....... ... ............ . ... . .... ........ . ..... ................ ...... ...._.._ . ... ..$ , 6,422 .57

"UNPAID BILLS (From Schedule D - Attach Schedule D) .. .. ....... .. ................ .......... .. ..... .. . ....... ........$
-IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule-E) .. ......., .,...,.... ,$
"OUTSTANDING LOANS (From Schedule It`- Attach Schedule F) . .. .. . ..., ., . . ., ..,. ,_ .,. $
OANDIIdATE CO ITLE S LY: `-
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
 . For )rtstructions, See Sack of form SCHEDULES

A MONE'ARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06/97) 1 RECEIPTS
(including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) :AMENDING FORK

Lord for Senate Committee I

STATE CANDIDATES NOTE . IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEES), UST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHE"C :C NUMBER IN TIME DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUT10N: Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contrtbutims or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER MCOME
ID#
Dr . James T . Koch 100 .00
2-5-02 CK# 3430 5251 Panorama Ter . Panora, IA 5021 .

ID# Paul & Judith Bissinger

CK# 9756 14822 Lakeview Drive Clive, IA 503 25 25 .00
2-5-02

IDfk
Thomas Sawyer
2-5-02 .1820 W . 2nd St . Perry, IA 50220 50 .00
CK# 1057

ID#
Melfired & Barbara Taylor
2-5-02 CK* 5941 . 587 Chardonnay P1 . Waukee, IA 502 3 100 .00
.
ID# Robert '& Phyllis Gideon
2-5-02 CK# Box 255 Winterset, IA 50273 50 .00
6081
ID# Eleanor Myers
2-5-02 5701 313 N . 12th St . Adel, IA 50003 20 .00
CK#

ID#
Stephen & Debra McCalley
739 South 14th Adel, IA 50003 100 .0
2-5-02 CK# 1237

IDs .
Art & Wanda Johnson
2-5-02 CK# 0261 100 .0
2821 316 Grand Box 205 Van Meter, IA

ID#
Craig & Laura Hastings
CK# 3926 Squaw Road Ames, IA 50014 100 .0
2-5-02 2578

ID# Ron & Diane Harland

CK# 2680 1915 16th St . Perry, IA 50220 100 .0%
2-5-02

SUB-TOTAL
745 .0
TOTAL (if Itst prgls 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 affnity (relatives by
mar riage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page 1 of 8
familial relationship, enter "not applicable' In the relationship column. (for Schedule A)
 . For )nstrucfcns, See Back of Fore- ^ SCHEDULE
MONE-ARI'
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06197) RECEiPTS
(including candidate's personal tunds)
© CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORN

Lord for Senate Committee

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 CAMPAi6V
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 I IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# Robert & Frances Stokely
2-5-02 CK# 5894 2238 170th St . Bouton, IA 50039 $ 20 .00

ID# Ralph & Sandra Watts

2-5-02 CK# 1142 50 .00
2824 Prospect Ave . Adel, IA 50003
iD# 6004
Assoc . of Gen . Contractors of Iowa
2-6-02 CK# 3853 P .O . Box 757 Des Moines, IA 50303 2,000 .00

ID* Mark & Karen Einck

2-6-02 CK# 7961 2517 Iowa St . Perry, IA 50220 100 .00

ID#
William & Barbara Clark .
2-6-02 100 .00
CK# 1438 2201 Evelyn St . Perry, IA 50220

ID# John & Jodi Tymeson

2-6-02 CK# 7.74 1524 Hwy 169 Winterset, IA 50273 100 .00

ID# James Beuter

2-6-02 CK# 13296 2610 1st Ave . Perry, IA 50220 100 .00

ID# .
Jon S . Peters
2-6-02 CK# 3548 250 .00
920 Diagonal Road Perry, IA 50220
ID#
Edward Friedmann Jr . & Elizabeth C yte
2-6-02 CK# 4377 3274 Delta Circle Redfield, IA 50 33 250 .00

ID#
Maxine Cole
2-6-02 Perry, IA 50221, 50 .0
CK# 2007 2833 Eastern Ave .

SUB-TOTAL
53,020 .00
TOTAL (ff festpege of this
schedule) $
' Disclosure law requires candidate committees to disclose the relationship of any relative maldrg acontribution 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 packOL). If surname of contributor is the same as candidate, but there is no page 2 of
familial relationship, enter 'not applicable' In the relationship column. (for Schedule A)
 For Instructions, See Back of Forr- SCHEDULE
MONE'ARY
CONTRIBUTIONS - MONEY TAB IN (Rev . 06(97) RECEiPTS
(including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Mustbe same as on Statement of Organization) AMENDING FORK

Lord for Senate Committee f

STATE CANDIDATES NOTE: IF ACONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMrTTEE), UST THE PAC IDENTIFICATIOct
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA 0HiCS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION : Section 68B.32A(6), Iowa Code. prohibits the use of information copied from reports and statements for soliciting contrbutrom or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT I IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDO/YR) AND PAC CHECK (If applicable) RAISER
NUMBER INCOME
own
1D#
Clarice Mains
2-6-02
CK# 8601 1820 5th St . Perry, IA 50220 50 .0

ID#
Arthur & Lucille Nelson
2-6-02
CK# 1811 1709 Walnut Box 518 Dallas Center, A 50063 50 .0

ID* Richard Morton

2-6-02 CK# 2682 1410 31st St . Perry, IA 50220 50 .0

ID* Charles & Edith Underwood

2-6-02 CK# 4343 . . 110 Ashland Ct . Waukee, IA 50263 . 50 .0
ID# Robert & Ann Sackett
2-6-02 CK# 2495 2624 Lucinda Perry, IA 50220 - 50 .0s

ID* Murray &Myrtle Luther

2-6-02 CK# 7495 2424 270th St . Adel, IA 50003 75 .0
ID#
Leon Bryan
2-6-02 CK# 7332
Box 463 Panora, IA 50216 15 .01
IEW
Darlene Nolan
2-6-02 CK# 1067 2202 Estella Perry, IA 50220 15 . 0

ID# Arnold Buchholz

2-6-02 CK# 2407 2422 Park View Pl . Perry, IA 50220 25 .1

Linda Potsander
2-6-02
CK# 2946 1523 Willis Perry, IA 50220 25 . CO

SUB-TOTAL
3 405 .0
TOTAL (if last p"o of Mis
wlittdule) S
Disclosure taw 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) . It surname of contributor is the same as candidate . but there is no page 3 of
familial relationship, enter "not applicable' In the relationship column. (for Schedule A)
 For Instructions, See Back of For SCHEDULS
MONE-ARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 0&97) RECEIPTS
(including candidates personal funds)
[] CHECK THIS 13OX IF
COMMITTEE NAME (Mustbe same as on Statement of Organization) AMENDING FORK

Lord for Senate Committee

COMMITTEE), LIST THE PAC IDENTIFICATION

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL . ACTION
FROM THE IOWA ETHICS AND CAMPAIGV
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN_ A LIST OF ID NUMBERS IS AVAILABL-E
DISCLOSURE BOARD .

CAUTION: Section 688.32A(6), Iowa Code, prohibits the use of information copied from reports and statements forsoliciting contributims or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 11 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (If apWkable) RAISER
NUMBER INCOME

1D#
Claude Pommer $
2-6-02 CK# 50220 25 .00
3132 1324 9th St . Perry, IA

ID# Clarence Bucher

2-6-02 2123 2644 Otley #2 Perry, IA 50220 25 .00
CK#

ID* 6069 Iowa Ind . PAC

2-6-02 CK# 1860 904 Walnut Suite 100 DM, IA 50309 250 .00

ID*
Donald & Mary Godwin
2-7-02 CK# 6019 . 2181 NW 72nd P1 . Ankeny, IA 5002 100 .00

ID# Doris L . Kipping

2-7-02 CK# 9524 2993 El Paso Ave . Redfield, IA 50 : 133 - 100 .00

ID* Keith & Kathleen Gunzenhauser

2-7-02 CK# 10065 2649 360th St . Van Meter, IA 5026 100 .00

ID# William & Judy Boorn

2-7-02 CK# 6679 2415 Warlord Perry, IA 50220 100 .00

ID#
Jeffrey & Nancy Johnson
2-7-02 3630 1955 Lexington Rd . Minburn, IA 50 67 50 .0
CK#

ID#
J . William & Wilma Mitchell
2-7-02 Adel, IA 50003 50 .0
CK# 3206 3112 L . Ave .

ID# Earl & Ardis Anderson

2-7-02 CK# 1055 3563 Richland Circle Van Meter, A 50261 0 .0

SUB-TOTAL
$ 850 .00
TOTAL (ff fasipsgs ofthis
sahadule) $
' Disclosure law requires candidate committees to disclose the relationship of any relative malting a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and aftuvl)t (reladves by
marriage) (See Page 2 of forms packet .). If sumame of contributor is the same as candidate, but there is no page 4 of 8
familial relationship, enter "not applicable' In the relationship column . (for Schedule A)
 For l~strvrctlans, See Back of For- ~SCHEDULEE
dal MONETARY
CONTRIBUTIONS - MONEY TAB IN (Rev . 06(97) 1 RECEIPTS
(including candidate's personal funds)
[3 CHECK THIS BOX IF
COMMITTEE NAME (Must be same as an Statement of Organization) AMENDING FORN
Lord for Senate Committee

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMrn M, UST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A UST OF ID NUMBERS 15 AVAILAaLE FROM THE IOWA ETFHCS 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/DO/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
H . Frank Teale, CLU
2-7-02 $
CK# 9463 108 E . Main Panora, IA 50216 50 .00
ID#
Frank & Maxine Botts-
2-7-02 CK# 5390 205 Prairie St . Box 307 Bayard, IA 50029 25 .00

ID#
Lois Hill
2-7-02 CK# 1615 2063 Minburn Road Minburn, IA 5016' 25 .00

ID* Raymond & Deb Repp

2-7-02 1729 _ 2025 H Ave . Perry, IA 50220 25 .00
CK#

ID# Lloyd & Barb Wenger

2-7-02 CK# 1323 1370 Bittersweet Rd . Woodward, IA 5D276 . 25 .0

ID# Marie Brant

2-7-02 CK# 6111 2877 332nd St . Truro, IA 50257 25 :0

ID# Kent Jerome

2-7-02 GK# 5025 3144 270th St . Waukee, IA 50263 25 .01

ID# James & Harriett McCoy

2-7-02 CK# 1243 3222 X Ave . West Des Moines, IA 0266 25 .01

ID# Max Wheelwright

2-7-02 CK# 3662 802 15th St . Perry, IA 50220 10 .01,

ID# 6096 Manu . Housing PAC

L2-7-02 1612 1400 Dean Ave . Des Moines, IA 503-6 500 .0
CK#

SUB-TOTAL
$ 735 .0
TOTAL (it MW pfto of this
whedule) $
' Disclosure taw requires candidate committees to disclose the relationship of any relative rnafcing a contribution to the
committee. Relationship must be stwwn to the third degree of consanguinity (blood relatives) and a" (rek ves by
marriage) (See Page 2 of forms paokOL) . It sumame of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable' In the relationship column. (edulo
 For Instructions, See Back of For r, SCHEDULE
MONETARY
-- 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 FORN

Lord for Senate Committee

THE PAC IDENTiFiCA*nOR
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION commr TEe) . UST
AND CAMPAIGN
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN_ A LIST OF 10 NUMBERS 1S AVAILABLE FROM THE IOWA ETHICS
DISCLOSURE BOARD.

CAUT10N. Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contnbutians or
for any commercial purpose by any person other than statutory poetical committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT H IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (~ applicable) RAISER
NUMBER INCOME

ID# 6101 Motor Carriers PAC

2-7-02 DM, IA 50309 500 .00
CK# 2170 Box 6121 East DM Stn .

ID# Independent Ins . Agents of Iowa

2-7-02 CK# 2544 4000 Westown PKY 200 WDM, IA 50265 200 .00

ID* John Hart

2-11-02 CK# 13482 605 W . Fremont Winterset, IA 50273 25 .00

ID* Marguerite Gowin

2-11-02 4580 303 N . 15th St . Adel, IA 50003 25 .0
CK#

ID# Darrell & Lynda Bauman

2-11-02 CK# 5188 4 Sunset Circle Adel, IA 50003 25 .0

ID# Eugene & Naoma Maahs

2-11-02 CK# 9195 3235 N . Ave . Adel, IA 50003 100 .0

Gene & Zola Summerson

2-11-02 CK# Dawson, IA 50066 100 .0(
1848 1251 180th St .

ID# Randy & Janet Crawford

2-11-02 CK# 1341 Box 417 Adair, IA 50002 50 .0

ID# Julius & Helen Little

2-11-02 CK# 1139 2105 Iowa Perry, IA 50220 250 .0

ID# Charles & Marilyn Smith

2-11-02 CK# 9809 3687 Osage Ave . Van Meter, IA 50 61 1O . C1

SUB-TOTAL $ 1, 285 . 0

TOTAL (lf test peglr of this

schedule)
. Disclosure law requires candidate committees to disclose the relationship of arty relative making a corttribudon to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affif»ly (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page 6 of
familial relationship, enter "not applilicabW In the relationship column . (for Schedule A)
 For lnstructlons, See Back of For, DULS
SCH
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(including candidate's personal funds)
0 CHECK THIS BOX IF
COMMITTEE NAME (Mustbe same as on Statement of Organization) AMENDING FORK

Lord for Senate Committee

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION CaMMTTEM, UST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA En-tics AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 68B .32A(6) . Iowa Code, prohibits the use of information copied from reports and statements for soliciting contrbuticm or
for any commercial purpose by any person other than statutory pofhical committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK fit applIcabe) RAISER
NUMBER INCOME
ID#
John & Marjory Shanda
2-11-02 CK# 7020 2409 Iowa St . Perry, IA 50220 25 .00
ID#
Guy & Mary Powell
2-11-02 CK# 3796 308 NE 2nd St . 'Greenfield, IA 50349 25 .00

ID* Stewart & Agnes Schwab

2-11-02 CK# 7205 1007 State St . Guthrie Center, IA 50115 25 .00

1C# David & Jean Koch

2-11-02 CK* 1968. . 1421 120th St . Earlham, IA 5007 50 .00

ID#
David & Margaret Drury _
2-11-02 CK# 1295 4633 156th St . Waukee, IA 50263 100 .00

ID*
Marilyn Straw
2-11-02 CK# 1265 520 Southfork Dr . Waukee, IA 50',63 100 .00
ID#6082 Mid American Energy Co .
2-11-02 CK# 710 666 Grand Box 657 DM, IA 50303 500 .00

ID# 6107 Qwest IPAC

2-11-02
CK# 3250 925 High St . Des Moines, IA 5030 100 .00

fD#
Thomas & Barbara Harger
2-12-02 CK# 6418 2616 State Hwy 92 Winterset, IA 50273 50 .00

Stephen &Mary Ellen Gilman

2-12-02
CK# 5911 Stuart, IA 50250 25 .00

SUB-TOTAL
$ 1 000 .0
TOTAL (if last pages of this
ssheduie) a
Disclosure law requires candidate committees to disclose the relationship of any relative making a coatribudon to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet). It surname of contributor is the same as candidate . but there is no Page 7 of _ 8
IamdW relationship, enter "not applicable' In the relationship column . (for Schedule A)
 cr Instructicns, See Back oT Eof
SCHEDULE

MCNE- ;
ONTAIBUTIONS -- MONEY TAKEN IN (Rev. 06/97) RECEiP
(Including candidate's personal funds)

CHECK THIS 5C
OMlV1l TTI EE NAME ('Must be same as on Statement of Organization) AMENDING FCR1
Lord for Senate Committee

ATE CANDIDATE NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICA71CN
!MBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND
CAMPAIGN
;CLOSURE BOARD .

,UTION : Secfc .-i 688 .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting
contributicr
any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT ti

RECEIVED (it applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER
INCOME
IID#
Robert & Donna Haxton
2-12-02 2389 Maple Ridge Adel, Iowa 50003 $ 20 .00
CK# 3951

I D#
Ramona Wifvat
2-12-02 CK# 2887 2412 Parkview P1 . Perry, IA 50220 25 .00
I D#
Shirley & Hubert Thompson
2-12-02 CK# 5192 1309 E . 30th St . Perry, IA 50220 25 .00
I D#
Catherine Hurd
2-12-02 CK# 1142 1423 Warford Perry, IA 50220 50 .00
I D#
J . Dwight & Betty Brown
2-12-02 CK# 5255 1117 Prairie Adel, IA 50003 15 .00

Dean Lauterbach
2-12-02 CK# 1138 1910 1st Ave . E . Newton, IA 50208 100 .00
ID# David & Patty Salocker
2-12-02 CK# 1335 Box 422 Perry, IA 50220 100 .00
ID# 6116 Iowa Dealers PAC
2-12-02 CK# 1007 Box 65840 WDM, IA 50265 100 .00
ID#
6118 Iowa Optometric Assoc .
2-12-02 CK# 1781 1454 30th Suite 204 WDM, IA 50266 150 .00
.
ID##

CK#

SUB-TOTAL 585 .00

TOTAL (if last page of this
schedule) $8,625 .00
' 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) (See Page 2 of forms packet.) . If sumame of contributor is the same as candidate, but there is no Page 8 of 8
familial relationship, enter "not applicable' In the relationship column . (for Schedule A)
 FOP, INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev. 09197) 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 80X lF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.
r
COMMITTEE NAME (Must be same as on Statement of Organization)
Lord for Senate Committee

CANDIDATE
ID NUMBER
(it applicable)
AND PAC
CHECX
NUMBER

Personal expenses : postage,

metallic car signs, paint
and mileage (See attached) 808 .30

THIS BOX APPLIES TO CANDIDATES' COMUrrTEES ONLY:

Purchases of certain campaign property cosang $500 or more must also be inventoried on Schedule H . (Refer to Schedule H Instructions.)

Expenditures to personslentitles 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 expendituro made by the persorV" on behalf of the candidat39's cornmite. (Refer to
Schedule G instructions and Iowa Code 56 .6(3}(1).)
 STATEMENT FOR SMALL BILLS AND MILLIAGE
OUT OF POCKET EXPENSES-DAVID LORD

Postage stamps-November 20, 2001--------------------------$68 .00

Postage stamps---February 6, 2002----------------------- ----$102 .00

QCM Automotive---September 25, 2001------------- ---------$90 .10

QCM Automotive---January 8, 2002 (Replace Stolen Sign)---------$45.05

The Home Office--September 20, 2001--------- -------------$82 .30

The Home Office--September 26, 2001---------------------------$16 .07
The Home Office---October 18, 2001------------------------------$34 .71
The Home office---February 4, 2002----------------------------$10.47

Harland Hardware---February 7, 2002-----------------------------$13 .41

Harland Hardware---February 7, 2002----------------------- ---$28 .60
Harland Hardware---February 9, 2002---------------------------$7 .07

Dollar General Store---February 7, 2002----------------------..---$11 .66

Mileage

September 29, 2001--Steak Fry, Adel----44 miles

September 30, 2001---Madison County Women's meeting--90 miles
October 2, 2001--Trip to meet School Superintendents and
Newspaper Editors------154 miles
October 16, 2001---Trip to meet balance of School
Superintendents--------132 miles
February 5, 2002---Deliver Newspaper Advertising to
Eleven Newspapers and 4 Shoppers--236 miles
February 8, 2002---Put up Road Signs in District-----138 miles
February 9, 2002---Put up Road Signs in District-----85 miles

Total Miles Traveled this statement---879 miles times 34 cents/mile==$298 .86

Total personnal expenses to date (February 11, 2002)--------------$808.30