FOR INSTRUCTIONS, SEE BACK OF F0i5,.

, FORM
DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organizatipn) (Rev . 07/2004) REPORT

For Office Us Onl

Comm .
Logg
Scanned
'. .. . ._ - r '.. :.. . . -. Computer
..
Audited ~' 'U `~

Late reports are subject to

possible civil and criminal
penalties.

SIGNATjd1RE OF PERSON TELEPHONE DATE SIGNED

I AM FILING A 91 26o4 REPORT FOR (1 2)NON-ELECTION YEAR .

(report date) Indicate by # a

OCHECK IF AMENDMENT TO REPORT DATED Local Co mittees, enter Date of Election

u. oZ i Z,50
F~ 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 file reports until a DR-3 is filed.) which Election is held

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds held by th

VS 7_ s o
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.) . . .. .. .... .. . . P.. .. .. ......$ '::
ADD TOTAL MONEY TAKEN IN THIS PERIOD 710 gs-5,3,00
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) . .. .. ....
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.... ..$
SUBTRACT
, TOTAL MONEY SPENT THIS PERIOD 3 3, "7 c,I
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 . . . . .. .. . . . .. .. .... .. .. .. .. .. .. .. ....... . . .. .... .... .. .. ~~ .. .. . . ~

`*UNPAID BILLS (From Schedule - Attach Schedule D) .. . .... .. .. .. .. .

.. .. .. .. . . ..... .. ... .. ... ... .. .. .. . .. $
*IN KIND CONTRIBUTIONS (From Sc e u e E -Attach Schedule E) . . c
..~~. .. .1 .0Q ..:. .~ .~ .. ...... .. .. .. ... $
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . .. .. ........... .. .. .. . . ..... .. ... .. ...... .. .. .. .. .$
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Including candidate's personal funds)
(Rev . 07/03) I RECEIPTS

CHECK THIS BOX IF

COMMIT 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 l IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/Y ) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
c $
~l7 f _ CK# .20
Ib 9-4- ,
I D#

CK# o I, NE.
17-49 d 2. 1
I D#

CK#
a o~ oo ~s

CK# 5z),
ID# '
t;lfeo~S
C K# 1V
_ ~eurA, ~ ~ 31
I D#

7/-3 CK# I
c~-S, B'0
v
~Vt,, SD 25
ID# I? -- _ g ~~r SO. &O
.~ CK#
d
I I D#

ID# . .

CK# Ce0~ .. ' Z

U c~,p-~tttC SO'O~~
I D#

CK#
sat 3 ZS
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
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page ( of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
 I For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Orgagization) AMENDING FORM

STATE CANDIDATES NOTE : IF A (()

IBUTION 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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

04, CK#
-3 4

L
I D#

sz
-. ._ r CK#
2 y

722
CK#
SCc-, r~ SC;
I D#

C K#

ID#

CK#

I D# _

rtic, .< :

:2
L C K# . ,I

ID# _
# cc~~L, 3 : c~r>
I D#

CK# /1 n

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
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page a.-^ of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
.' For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev . 07/03) 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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/,Y ) AND PAC CHECK (if applicable) RAISER
` NUMBER INCOME

'/31 CK# °~~ ~

S C3-gyp $' ~~r
I D#

/ ~ CK# SZ), ~p

ID#

ID#
v
CK# C9r,

I D#

q12 7 CK# s a; a-D

ID# I

CK#

ID#

CK#

I D#

CK#

I D#

CK#

I D#

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
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page
familial relationship, enter "not applicable" in the relationship column .
-' For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07103) I RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITT NAME (Must be same as on tatement of Orga zation) AMENDING FORM

V44 P-Q-4e,
STATE CANDIDATES NOTE : IF A CONTR UTION 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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

~Dd,
'~
104 CK# $ Uv

D CK#

CK# 1
ib
T ID#
1

' ' ID#

C K#

I D#

CK#

I D#

C K#

I D#

C K#

I D#

CK#

I D#

C K#

SUB-TOTAL
$ I l4- Sa .
+
TOTAL (if last page of this schedule) 17 , 1 1,, n ,

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) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
' For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev. 07/03) I RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
NAME (Must be same a,~ AMENDING FORM

Uww N~~ I
STATE CANDIDATES NOTE : IF A CO IBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER 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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/ D /YR) AND PAC CHECK (if applicable) RAISER
t8 -. NUMBER INCOME

Alij"(eil ((~uc~'Ill
CK#

I D#

C K#
.
h. 4
24~ . -. ' . .. I

ID# ~~
1
cK# . p. b (3

- -
I D# -- ' ~
O I C(
3~1Z 5 9 "
CK# ll~C1, c 0
!L-", S03 i - 3 4~
'D-ad J lir .
(~LJW(ti'- K4 _, _

CK# t r (o I q~ ~- s ~- V 5z o' ~' ~D~ a-b

ID# ,

CK#

I D# '
73 0
_ z ~

C K#

1D#

C K#

I D#

CK#

I D#

CK#

,16
S \ 13ji 15 h sfi NUJ SUB-TOTAL 1 o5o` ---
CVe v\ ~bG
TOTAL (if last page of this schedule) 1---
~3~-q3,
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) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
 For Instructions ; See Back of Form SCHEDULE
EB 2 5 2005 A MONETARY
'CONTRIBUTIONS -- MONEY TAKEN IN
(Rev.07/03) RECEIPTS
(including candidate's personal funds)

COMM) NAME (Must be same as on Statement of O

i
STATE CANDIDATES NOTE: IF A CONgIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER 1 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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DI1i[YR) AND PAC CHECK (if applicable) RAISER
+`,tl NUMBER INCOME
ID# (r rL c o c ~^
~c -
Gfl~ in

! 3I
CK#

ID#
W~ r1lt .
0 -11 _

1 9 pe. ~..-.. 33
- -- .._.,
3b t z Sw 9 -
CK#
Z. 7
- hAll wf11rl .:; ME
t~ ta
ID# I

tt Owc ` S JZJ~ O~
CK#
S 2Y Q 1

CK#
x317- 2-70
ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#
- -
(;.16 M,-5 15 Sr SUB-TOTAL - _
N~

bt~l:aVl~ 1~c~t-C Y1 ~ ~ G 3U Oo'~~ $l

TOTAL (if last page 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 affinity (relatives by
marriage) . 1f surname of contributor is the same as candidate, but there is no Page J of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)

-~, PC ~0es "A "Qo

 . t-UK INJ i KUCI IUNS, 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 CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE El CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF iD NUMBERS IS AVAILABLE FROM THE IOWA
ETHICS & CAMPAIGN DISCLOSURE BOARD . AMENDING FORM

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

~~k L4i 4 4
.i ~ .~Zu. ~~~
CANDIDATE NA~j11E ANCYADDRESS O WHOM PURPOSE AMOUNT
DATE ID NUMBER AfENDITU (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disburs S MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID#

CK# 10,50
$ s~
ID# v r

CK#
~aSZ
' ID#

eK#
go k331-, '3
' ' ID# 7i

CK#
f054
ID#
cf
1 o sS Q~-.- S4 .
~l2 S~o
kit
k1
cK#

ID#

CK#

ID#

D
CK#

ID#
Clt n
CK#
l lu~

SUB-TOTAL ~. ~ D
TOTAL (if last page of this schedule) $ ' '

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing $500 or more must also be inventoried ocl 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 68A .402(3)(i) .)

1fnr Snharf da R)
 . i-OR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY
(Rev. 07/03) 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 BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

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

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#

_ CK#
' $ ZS d e'U

ID#

CK#

ID#

CK#

ID#

CK#

1D#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL $ ~SD
TOTAL (if last page of this schedule) D

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

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 68A .402(3)(i) .)

Page I'D- of

Ifnr Rnharhtla R1
 R"INSTRUCTlONS, SEE BACK OF FORM SCHEDULE

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

D I INCURRED
(Rev . 08/98) INDEBTEDNESS

Q CHECK THIS BOX

IF AMENDING
NOTE : Debts previously reported that remain unpaid must be .included on this jteset"Fbrtn : : FORM
Schedule, as well as any new obligations incurred in this period .

An "incurred debt" is a debt for

DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) received, but not paid for by the
end of the reporting period .,
regardless of whether an invoice
has been received.
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MM/DD/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED -REPORTING
PERIOD'
$

7^-

f7 S"r f i'tk f

SUB-TOTAL $

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

C C, P : w(p
'If actual figure is unknown, show "estimated" beside the figure .
(~ (for Schedule D)
t
' V'Q f , U ~~

CANDIDATE COMMITTEES NOTE : '~

'Incurred indebtedness also includes each person/entity with whom the candidate's committee has entered into a contract during the reporting period for future
or continuing performance. Enter the name of the consultant who provides or procures services for items such as advertising, fund-raising, polling, managing, or
organizing services . Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant.
 FOR INSTRUCTIONS, SEE BACK OF FORM FORM
DISCLOSURE SUMMARY PAGE ResefForm° .
DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 07/2003) REPORT

For Office Use Onl y

Comm. #
Logged In
IMPORTANT: Indicate type of commie you are reporting for :
Scanned
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee Computer
Audited
CANDIDATE COMMITTEES ONLY :
Candidate qa'm "I RQUical Party

District (if Senate or House)

- 73

ER (or person mg this report)

Late filed reports are subject to possible civil and criminal penalties .
SEE INSTRUCTIONS C±N BACK AND COMPLETE THE FOLLOWING SENTENCE :
.v
ri . w
I AM FILING A k REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indi one

CCHECK IF AMENDMENT TO REPORT DATE Local Committees, enter Date of Election

[~ 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 file reports until a Notice of Dissolution is filed .) which Election is held

STATEMENT OF CASH ON HAND

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 .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . .
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 . . . . . $
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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

`UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . ., . . . . . . . . . . . . . ., . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . ., . $

J KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ > 1 jnJ
'JTSTANDING LOANS (From Schedule F-Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
11DATE C OMMITTEES ONLY :

ILTANT BREAKDOWN (Schedule G Attached?) YES ~-J NO

V CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
 For Instructions, See Back of Form SCHEDULE
`;-Resetlorni
A I MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev . 07103) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMI/EE NAME ust be same as.Qn Statement of Organization) AMENDING FORM

- -- i i

STATE CANDIDATES NOTE : IF A CONVPIBUTION 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/DDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# Pa-
72 $
r-72
7 - t f+-0±
1
CK#

ID#
CJtch ~ :+: s ~/ '9:' f2t~ f Cc-14r tder
~ ekl j l ,/
- - G `~ CK# 7 30&_7
ID#
~~r+,'raa ~, C:: c~ e `l~

EEI
7J9r
CK# . c zLl `~ ( h c1~ t cr r~ ~'c S~ c
7- f S - )L77 /0/trr s , r l-
s '
CZ n~ VJ

ID#
cz_ t<r l7t G'~7ca''

- CK# /3 3
t S 'Inc,
I D#
~r~ x Sy~ fki d
&i
CK# n

ID# }
1/ sJ r-` ~ ~~e"
r ~{ d o-
~-l ~--~~-~ cK#
3 :3 l ?
3
De s In e j `l -es ~- 5-0311
ID#
V,

C-:~, r- t t sip ~~. L/ 5

I D#
qr V e C-th -e I"

7-(lam-C, `f CK# G~,` '' ,Sic' Tc>i-~?do SJ''

25
5-41-475
7S
I D# i

i1f . I
S 4, X
ID#
("o-p-1A-eY'
A ,
CK# 11 Z-t:'` I t: `K wcr ~' ~I C+ ; Z
L' Y i C- vo
C Curia r -0, t d 5 -r~ $ Zy4~ 2
SUB-TOTAL
I

TOTAL (if last page 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 affinity (relatives by
=77>
marriage) . If surname of contributor is the same as candidate, but there is no Page I of y__')
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
 R -e n -e -e- I- c) 6b -e,
mi /V otas
li7~-LY;114-1-i 1 A d

5el", Lk

7-t j~y .
--A e, - oomoll `7
UC5Ct7

Qerj &A 2V
-'e'h :' '" a 5 Def V " -$ A
Y"

~;Ckvj-e- 0 prol
In< c" (3e. zo
--pi-ec,54r't
,

jel We 5 (,) r V-% Lc- K

ec' b-e,- I i -I
L' P il el 11 -1

W E-
3 7 4~O -e

ll-oi$ W Vf
30
,O,f"-5cer~!U lie I, 'Z Q , --2-5

Pe v ~rl0 , I(e .,
j, -
100i a.

& 3~ 6;,

0-Y
 -
L-cILI,-),V, t^A t4

Apr

-2- 1,7 Ale L-

J-6Lfnln-lf- L-e( :Ildn

1
Z-1

-e c -I
' :Z! &~ 11 1 L Cl ill el? 1 11 2 ----
jj , 6"L I b r ,--f ; f ti
to .5 5 ,V, Li 7

I 11 On
y
-

1 7- -Z, Y
I , J-41
/1
ce, -5 ~

IL6130 =~
~) -f
 FOR INSTRUCTIONS, SEE BACK OF FORM I Reset Form F
SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev . 07/03) 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 BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

COMMITTF~ NAME (Must be same as on Statement of Organization)

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# '~.
t~
-7 CK#

I D#

CK#

I D#

CK#

ID#

C K#

ID#

CK#

ID#

CK#

ID#

C K#

ID#

CK#

SUB-TOTAL $

TOTAL (if last page of this schedule) $ ~7

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

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 68A.402(3)(i) .)

Page l of

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

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

D I INCURRED
(Rev. 08/98) INDEBTEDNESS

CHECK THIS BOX

IF AMENDING
NOTE: Debts previously reported that remain unpaid must be included on this
Reset Form:: FORM
Schedule, as well as any new obligations incurred in this period .

An "incurred debt" is a debt for

DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) received, but not paid for by the
end of the reporting period .,
regardless of whether an invoice
has been received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MM/DDIYR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD`

J
Set r-

SUB-TOTAL $

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

'If actual figure is unknown, show "estimated" beside the figure . Page i of
(for Schedule D)

CANDIDATE COMMITTEES NOTE :

'Incurred indebtedness also includes each person/entity with whom the candidate's committee has entered into a contract during the reporting period for future
or continuing performance. Enter the name of the consultant who provides or procures services for items such as advertising, fund-raising, polling, managing, or
organizing services . Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant.
FOR INSTRUCTIONS, SEE BACK OF FORM
I
SCHEDULE
E IN KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06/97) CONTRIBUTIONS

[] CHECK THIS BOX IF

AMENDING FORM
Res et^Foiiii

DATE RELATIONSHIP DESCRIPTION ESTIMATED 4 IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MM/DD/YR) OF CONTRIBUTOR " (if applicable) CONTRIBUTION VALUE CONTRIBUTION

; 77 3r- "P
O-e,, rl-e s ' 7-- of.. .5L'' 3G' 1Zf.~ L~-e.- dtsit-zirfi-z- ?C'?

a
0

TOTAL (if last

page of this
schedule)

'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page 1 of
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
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 .