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Setij-hL4hn: Disclosure Summary Page 7 R E'ort
Setij-hL4hn: Disclosure Summary Page 7 R E'ort
2002
DR-2 asciosuim
DISCLOSURE SUMMARY PAGE
P&PORT (Rev. 02rt M
POMNUS Duo For Lath Flied Rsporf Rang* trom $10 to $100.
17 2002
-IG 1+
914 BACK AND COMPLEE T14E FOL LOMNO SENTENCE: JAN
~IIw~
I AM FILING A 01 JOAa tJo. Z061 REPORT FOR ARIA (1) ELECTION 1MNON..*LECWN YEAR.
(report date)
CASH ON HAND st the end of this reporting period (If" report. balance must
be zero) Attach DR-3) ..................................................... . . .. .. , .. ...................................S
UNPAID BILL* (From Schedule D - Attach SGfedule D)_.., ................................ . .. ." . .. .. ... . .." . ..- ..........ti
IN KIND CONTRIBUTION* (From Schedule E - Attach Schedule E) ........................................... .. .. ..S OD
OUTSTANDING LOAN* (From Schedule F -Attach Schedule F) .....................................................i
CANDl2ATiE GOMMITTEE8 ONLY:
CONSULTANT BREAKDOWN (Schedule O Attathed7) YES NO
SIGNATURE OF TREASURER (or person filing this report) TELEPHONE DATE SIGNED
Penalties Due For Late Filed Reports Range from $10 to $400
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: JAN 1 7 2002
I AM FILING A Q ( j Cu&i - 31 ~ - 000 REPORT FOR AWA (1) ELECTION /(2)NON-ELE ION YEAR.
(report date) Indicate one 10
CASH ON HAND at the beginning of the reporting period. (This is the total
of all 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 filed.) .................. ....... ..... ..... ............... ..... .. ................ ... $ '7334-8
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ........................................... ......
Schedule C: Fund-raising Events total (Attach Schedule C)............................ ........... ..... ....
Schedule F: Loans Received total (Attach Schedule F)...................... ........ ..... .. .... ....... .......
Schedule H: Total Sales of Campaign Property (Attach Schedule H) .................................
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL ..... $ "74-34bt
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ................................ ..... ............. ..... ... . 68S
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) . .... ............. ... ............. .. ................. .... . .... ...... . ....... .. ..... ..... .................. $ SSZ
UNPAID BILLS (From Schedule D - Attach Schedule D) ......... ............ ..... .. ... .. ... .............. ....... .. ........ $
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E)............ ........ .............. .. ............ . $
OUTSTANDING LOANS (From Schedule F-Attach Schedule F) ............................. ............... ..... ....$ 400
00
.v
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
r 5 Ta _i4 if-.
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 688.32A(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 .
CK#
I D#
CK#
ID#
CK#
ID#
CK#
I D#
CK# - .
ID#
CK#
I D#
CK#
I D#
CK#
I D#
CK#
SUB-TOTAL
5
TOTAL (if last page of this schedule)
/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 I of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF , .,e?M SCHEDULE
ID#
6lores Mc'r--{-Z, l C C'w~c~eren.tce,
CL)
~( ZZGI CK# /U0Z 70h `
70
Of +-eStr~i , : sios70
(~ I ZZU I
CK# :57/ (6 P o N-x 73- 7 (Z,3) 1 19
I~irs rvlo, k(es, :IL S'U 33$ 00o I
I D#
Qwe s Ifp i1LA,i
1Zo So
JZ 13 o I CK# X17 (see Cibux:e
(2)3)
ID# 2- i~CvU
7
ID# tq N/,ri,rC,
Ids- l,~dePetiaetil-l-
I
f~t cm 1JO
/
News lip
02 1301 co f3o,c l S -7 2 )
{-f um bold+ SOS ~J
Please insert the applicable number in the purpose column for each expenditure.
Purchases of certain campaign property costing $500 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)(i) .) - -
of Page ( 4
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF, .?M SCHEDULE
ID#
Qwes4- 1e1t1Ol~,ue. (6Z
071-1 01 CK# ~Z 3 (sec ctbooe-) (2,3) 23(0
ID#
l*wo~cs rY1e~-2- ~c~m~K
0? l?01 CK# SZ4 1002 -7D'L*' /Q0c. &14M S~ 270~ b
01-losenJ !;- 9600 t'wfh Cart, kts~l'orte
1D# ~~ I[.C4ihlDUVfG
~olores MLr-TL
0'11~ 01 CK#
e2 (W abooe- ~m,~~3 3321
- mtetl+iu - C'S~o
ID# l~e~i n buvse, l~'r
~lOV f! S /~ t°,r-~ hrm l%o(3 /~
0'] 1 CK# (o (see ilboot -
ID# Anrnjual !buts
fg15of-fu-area E(_0AJon,,i:-1)eodoprncr.~ oa
07 Z~6 CK# SZ~ 307 C. Gall / SS'
3)
- 1411 okra , Lc.. 90" 9_//
SUB-TOTAL $ 2312 ul -
TOTAL (Iflast page of this schedule) $
61,62301 CK#
-0
leu e, ( .3)
SrZ$ (01
i as a- Sr0 32
ID# "
' (~overuor'S Outo f"ilember4"),p
ca
082301 co $~ ~ww ~,/ ( 3 ) /DOD
(see- aloooe )
ID#
iw )o v e s M er+z f-~c+e 1
.~,
'.tx~"'~w
(3)
bti1301 C K#
5-30 (see abo,)2
l(p0
f~ol~'cy
I D#
l~~lo~Ps 1`fYle~-fz Plo.tire ,i1LIL~ef
7
/_ COUIU0 " I 0~
Oct 1301 CK# S31
f (see Ci K7Ct) e) sja4e goo ( 3 )
ID# PY1PuIs
l1loves W)eYf2
~sla~ SO
(~'13di cK#S32 See a bo o f C-xchur~jGm .3 ) /05
~~Om .tG'f
ID# QwtS " jeel<ePHcjue-
(!)r301 CK# 53.3
.3 (See aboje ( 21 3 )
Please insert the applicable number in the purpose column for each expenditure.
Purchases of certain campaign property costing $500 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).)
Page of
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF, RM SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT
(Rev . 02/96) I EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE Q CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.
C bu,uc , t
7- ID#
oyft4 ~/q(
I(] I C K#
S ~(O ( Seie Gbooe) W IICN ""
I L CII
I D# ~ '
tAjotorntn,/
1JOioie5 w7l er-~ ~bt-ei
i9 C I Iti~ bl"w 20
fb, CK# S3~ see CZ Wc)J e
,Ao I . 'c .
Gwes -f-
I D#
717-
Its /i0f CK# <3 ~
1D#
S3! l6owves Mev-22
Ff-<<1
meek-,&I (o3
to 3i vi cK# (Std CLbvJe-
Ccu~c, / c~ S=kufe.
/U3l(.i CK# (see C(b0Ut) Gcoe, Nwte,4Z / 3)
i~Yl(r~+iu
ID# .
I'nerte_ I~lai.a ~ . lkt
l(
. 'l ores
S`fl C--(p meei-om /
Io3~c~i CK# (see CLioUve.
Please insert the applicable number in the purpose column for each expenditure .
Purchases of certain campaign property costing $500 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)(i) .)
Page
(far Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE
COMMITTEE NAME(Must be same as tatement of Organization) F LOANS
(Rev . 02/96) RECEIVED
0Yl eV+Z- & REPAID
NOTE : This schedule reports money loaned to the committee which is deposited in the committee account. QQ CHECK THIS BOX IF
4&-)C) o ~+ AMENDING FORM
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD $
PART I - MONETARY LOANS RECEIVED THIS REPORTING PERIOD PART 11- MONETARY LOAN REPAYMENTS MADE_ THIS REPORTING PERIOD
(Original source of loan, such as a bank, must be shown If a third party is (Loans forgiven must be reported on Schedule E -- In-kind Contributions.)
involved. Include loans from candidate's personal funds.)
DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT DATE PAID NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT
RECEIVED (include Endorser's Name, If Applicable) TO CANDIDATE OF LOAN (MM/DDIYR) (Include Endorser's Name, If Applicable) TO CANDIDATE' REPAID
(MM/DD/YR) (If Applicable') (If Applicable)
$
'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 surname of contributor is the same as candidate, but there is no familial
relationship, enter 'not applicable' in the relationship column when it applies .
(for Schedule F)