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DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
(Rev. 07/2004) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only
&f e Comm. #
IMPORTANT: Indicate by # type of committee you are reporting for: Logged 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 Computer
Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC
11 ) Local Ballot Issue Audited
Ctc ai~
Candid ~a me Political Party (if applicable)
+G(C/k~rtrzc~ ~- ljt
Office Sought District (if Senate or House)
DEC " :l. 2005
rn1) 'IW - c ( Q~ C(:7 WA l*-lW, XA
0
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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
C 1 CGJO
STATE CANDIDATES NOTE : IF A CONTRIBUTOR 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/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# c,~0-~- S OTe trC~
ID#
W&IJD-ec. 6Uy
-1 l- I-OS~ cK# 11 (o 9 . 1`. ST,
W fZ t.~ Iw6-IZIAJ t a.3S-3
w (c~ c ~e
ID#
f`fbfc
cK# A, -
ID# _
r ~
II-7-05 CK# ~p W. 15~ ~ ~~
tie
&Vcy ILhv M S a
I D# ~.~ rv"m PT`
N - 7~o CK# I 1 o ( oak 7A?La2 br so eo
Was -~ z 5-Z 3
ID# ---~-~ ~. _
CK# ~ . 03
~,Mr~JC Q.CLT .
I D#
1 a 't
LL) . L4LJA S VA I w(r VAAJ
CK#
li w , ~A Sa3S 3
ID#
CK#
I D#
CK#
ID#
CK#
SUB-TOTAL
" 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 -I-- of __t_ --
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
FOR INSTRUCTIONS, SEE SACK OF FORM SCHEDULE
B
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07103) I MONETARY
EXPENDITURES
ID# Q ADS
(~Ur~sNIk/E~ ~v~wtw~ ~w~ 'NCL(
t L cede l. awwRlS
CK# 111 ?J- NnAT tu- Ave
LA-t% m 1wkpA1i YA 5 z3s~ I b V_A%1L_
1D#
C H Imp I&GR LLF C.&MIm 2 CHARM;?/
100110
CK#
7 2,'0v9 OUT- AC-GT.
SUB-TOTAL
$/O4
TOTAL (if last page of this schedule) 1 $
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)
Expenditures to personslentities 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) .)
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
B I MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE CHECK THIS BOX IF
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.
LI D#
CK#
ID#
CK#
I D#
CK#
1D#
CK#
1D#
CK#
SUB-TOTAL I $ 3,;t a
9 .1
TOTAL (if last page of this schedule) I $ (s?
1 .3 .5 1
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) .)
(for Schedule B)