FOR INSTRUCTIONS, SEE BACK OF FORM

DISCLOSURE SUMMARY PAGE _2 DISCLOSURE

(Rev. 12/2005) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For 6fftce Use Onty

Fl- ICmA o~ -7_

im Con m . #
IMPORTANT: Indicate by # type of committee you are reporting for : l.eg~ed In
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party (Scanned
(4 )County Central Committee (5 )County Candidate (6 )City Candidate (7 )School Board or Other
Political Subdivision Candidate (8 )County PAC (9 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC (11 )Local Ballot Issue
Audited
CANDIDATE COMMITTEES ONLY:
Candidate Name ~_ Political Party (f applicable) File with:
i ps1 / to r a t'V I, 4 Ife' Q h. Iowa Ethics and Campaign
Disclosure Board
Office Sough ~. District (f Senate or House) 510 E . 12"', Ste . 1A
_''0W4 I" q Jv 21 Des Moines, Iowa 50319
Fax : 515-281-3701
Late reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code section 68B.32A(7)
the candidate~~candidate's committee, and the chairperson, for any other type of committee, is the
indivouatlesponslpl4for filinstimely tlnd accurate reports .

6Y/- 79) ~
TELEPHONE DATE SIC24ED

I AM FILING A 00 REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .

(report date) Indicate by #

CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

0 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 the

/// 71
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 .) . . .. . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . .$ .61
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A : Cash Contributions total (Attach Schedule A) (*also see in-kind below). . . . . . . . . . . . . . . . . . . . . . . . . F155--- 00
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 .. . . . . . . ... . . . . . . . . . . . . $ 2o, a6~ . l
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .$ 41,40 . 7
**UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .$ 0 0. 4f3
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . ... . . . . . . . . . .$ /S 99
'"'OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .$
CONSULTANT BREAKDOWN (Schedule G Attached?) _ YES
_X NO
CANDIDATE COMMITTEES ONLY :
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $

STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year.
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
COMMI EE NAME (Must be same as on Statement of Organization) AMENDING FORM

.4's '- 11 j O ~.~ "l U

i
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM ASTATE 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.
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 68B.32A(6), 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 10 NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (f applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

/e-/Q.~G' CK# ~a ~,7 3S +PXi ~~ R sr' ' or 5 00

b
ID# ~ar ; ~tK $Yew,vr~r~
D CK# i-1~l 4~-A A 7
A1~adw S
lD# ,4 H4x$ PAAt K-5.
,`~DG l~ ~.
G CK# 3Oj
111 D ~.a 8
ID# he4,7 G a k 7"r-'r n
CK# a,...L %J
lD~l~ c~
v.v S~C,bos~S~
ID# Taso" A + -+Earn V" 5 Gkrt 77 0+13
ld..~ ..,~r /S-O/ 4. 13 a--4L ,-,j db
CK#
A)"ow X~vw , so >.*g ~,
ID# flr4vnry w -Nan6V C . /dex"

CK# 6Gl! Ra s,rp s,.., D~ _

ID#
CK#
/O~.o aL

/6 "20
~G CK#
,". .- zc. Sv2~ ~S~

CK# o w .S t
ZD 20 a ___ s'~ 6t

91
. .04 CK#
l6 c,,, fit,, O7 /

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 sumame 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) RECEIPTS
(Including candidate's personal funds)
CHECKTHIS 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.

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

CAUTION: Section 68B.32A(6), 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 1 IF FOR
RECEIVED (f applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD(YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ~'f5~2 Ga DttIN~L~ l! e~Uh!"C'.,rT
$
-so
ID# Oat/ cr. /N 4tlay Uaa,
CK# ls's w i~ .BAN /OD
Gfc
ID#
Ti Mo y5 ac" SANPA16
Gl'IE. .~ 3 3r2N
CK#
~^"o aodr' .SG
ID#
Qawda, .C ~ Ca,! w ` c.t..
lb ~7~SIG C K# lloG 5 13 au& tom' !>
ID#
S u4 " 4bt~Pst~ .~'
17 4
D "Z3
CK#

ID# t701sr7 r `,~ fXry IVIA~ 9; 4k

CK#
40
ID#
T~r~l
7 ~S .
14 J/41 Z:
ID#

CK#

ID#

C K#

ID#

CK#

SUB-TOTAL

TOTAL (iflast 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 sumame 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 Reset Form SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT MONETARY

(Rev . 07/03) EXPENDITURES

D CHECK THIS BOX IF

STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
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)

`I 944/ 0 711M
CANDIDATE NAME AND ADDRE% 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# (li ~ ~r Eh~+p+~~fs¢s
CK#/o S.Zoo 3o~lf S{a- 7 Pro duC 4abl %'a f $ 7P ~
9S )aJ C4, of- f 5-2 roz
ID#
V iC~- >Gkf~~t~f-'iS~ S
(O - Ifo6 CK# S.Zo0SrcJ .3v_ st-3>~.7 ~ ~~lS 7v . /l
_ b" 4, rA Imo'
D# -~
es a~~c p,Nt
r S
ID#
~wfQ,,-~,,~set
10-17 -06 CK# l am S2~ o .S. w . )o ~ -o-ate-
viG~~l
7 R io
~4r
~~5~- 70
ID# I
~~~- eras
06 CK# //, Dq` ov
zoo
/Ofy
ID#

CK#

ID#
CK#

1D#
CK#

SUB-TOTAL $ '70
5-1 /0'
TOTAL (If last page of this schedule) $ /p .
ti-

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)() .)

(for Schedule B)
 I
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
D INCURRED
COMMITTEE NAME (Mustbe same as on Statement of Organization) (Rev . 08198) INDEBTEDNESS
i s d 7w Mo r aw 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/DD(YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD`
$

(0-18 0~ 2610 Pa'k /? e,J?v .

it'Ik sort fi ,

SUB-TOTAL $

l° ~0 ~3
TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

L6
'If actual figure is unknown, show "estimated" beside the figure . Page !I of I -
(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 forfuture
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 SCHEDULE
E I IN-KIND
COMMITTEE NAME (Must be same as on Statement of Organization)

f T for
(Rev . 06/97) CONTRIBUTIONS
i& ,d" 0 Pt., Qw
CHECK THIS BOX IF
AMENDING FORM
Reset Form

DATE RELATIONSHIP DESCRIPTION ESTIMATED 4 IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MMIDD(YR) OF CONTRIBUTOR * (if applicable) CONTRIBUTION VALUE CONTRIBUTION

l .
41,4t Pap-jr of
PfQfS ~
1~1wu
6~ ~~ tt Q ~ l.
/m'Lo tit. J 09

F-1
F-1
0
F-1
F-1
F]
F-1
F-1
F-1

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