FOR INSTRUCTIONS, SEE BACK OF FORM Reset.

Form FORM
DISCLOSURE SUMMARY PAGE DR-2
(Rev_ 07/2003)
I DISCLOSURE
REPORT
COMMITTEE NAME (Must be same as on Statement of Orgenizat
? Lliv.toe-SniP_k eR-nJOVG0 cot -CtlA ForOffice Use Only
Comm . fx
IMPORTANT: Indicate type of committee you are reporting for
Logged In
(1 )StatewidelLegislative Candidate (2 )Statewide PAC (s) P (4 )County/Local Candidate Scanned
(5 )County PAC (6 )Ballot Issue/Franchise Committee (7 ) ~ tral Committee
( a )Support Slate of Candidates 1
~CC11YP_.% Computer
Audited

Office Sought ict (if Senate or House)

SIGNATURE OF Rt~~SURER (or person filing this report) TELEPHONE DATE SIGNED

Late filed reports are subject to possible civil and criminal penalties.
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :
I AM FILING A REPORT FOR ANIA (1) ELECTION I(2)NOWELECTION YEAR .
(report date)
Indicate one
Local Committees, enter Date of Election
CHECK IF AMENDMENT TO REPORT DATED `

County & Local Committees, enter County in

which Election is held
Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 .
(You must continue to file reports until a Notice of Dissolution is filed .)

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

*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . $
*"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . $
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) DYES ONO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
 For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 02/96) RECEIPTS
(Including candidate's personal funds)
[CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

W lVl, h 2S)r~\ Q,. ~, auN\A 1\Q.0U"\& G41~k Lo.~_a4AV

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

RECEIVED (if applicable) TO CANDIDATE" RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER
ID# DQ~ _

Wo e- C) V- a,~A

~cs Co t"QY 4"1 t

I D#

J12 b 1b5 CK#

~20
ID#

CK#

I D#

C K#

I D#

CK#

I D#

CK#

I D#

CK#

ID#

CK#

I D#

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) (See Page 2 of forms packet.) . If surname 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 iNsTRUCrloNS, SEE aAr-K OF FORM L.- f~'J SCHEr)tJ

B MQnWARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT (Ray. 07M) E7CP13dAITURES

sTAT~toe OR LEGISLATIVE
sYATL PAC eroMrwTrEBS: NOTE: FOR CONTRIBUTIONS MADE TO AND TM ~ CHECK THIS BOX IF
CJUVDIDATE$, LJST THE CANDIDATE 1DFNTTWATION NUMBER N1 THE DESIGNATED COLUMN THEKNVA
R POR FACH uRE- A LMT OF ID NUM R8 IS AVAILABLE FROM AMENDING FORM
PAC CHEM
ETIYCS a CAMPAIGN DI8MOSUM BOARD . __
C T'fEE NAW (Meat Do same as on SfatfeM of01gan&SUon)
i
~V i rlr7, CuuA J? le . ~ --~ i 17 Leh r+1 .
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
EXPENDITURE (DESCRIBE TRANSACTIOM EXPENDED
; DATE tD NIA"
~, -,D..(FCNDED (it epp1mb4s) (Oisbursomsnfl VS MADE
; . (MWDDIYR) AND PAC
CHECK
NLAAM

`, CKA! C~j-CL A, -ilk

a, n
ID# CIQ k e,5 R'4'5 1-Q 44rtrrlf Q CA

CK# ov

IDS
r~ z, b ui~ c
7- 5-ct ca ~~~ - nSur,
C C /`~t
IDO
CKII
_, ..... . .
IDS
CKS '
ID#
CKS

IDS
CKS
ii
IDOL
CK#
. ,rm-. .
SUM-TOTAL $
TOTAL (iflest pey6 of Oft aciwdaAW $ ax

T1*S BOX APPLIEB TO CANDIDATES' Gp11wrTma DIMLY:

Purdum" of osRaln wmpWgn properly ooe*np M00 yr more must also bo WvwtWisd On Sd*dule H. (Refer to Sd%eduW H Inswxiom .)
pandkursa b penonslanHdae provldinp oDnsWlkl/>ldvalgslr~ptune-maf, POWs, msnaglnp, olganh f asnrloss must also be doW 1lsrtfW an
Sew" G by fernouf purpae, snp eels of oech "of mile by the ppsonlan* on b~ of1M arnddWo oonenllwa . (Refer to
SdIedW@ G kwjuc§om and Iowa Code Ow4C )

(for sdwdula B)

Z0 ' d 686£Z8£6 T 2
>ION I 3 Q -1Ha3D Wd Z T : 20 90-8 T-NO1'
 FOR INSTRUCTIONS, SEE BACK OF FORM KeSei f'-OIII!
I-`_---------,- ._._-I SCHEDULE

B MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
(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 1

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)

w t h(n e51n ~ ~k Cou, ~e ~ ~, ~~ icr~nn CXx~l~r-~ ~`Mwt 1~ Q ~

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
I D#

)3~
ID#
aM--w
CK# '~

I D#

CK#

ID#

CK#

ID#

CK# _

CK#

t I D#

CK#

I D#

CK#

SUB-TOTAL $ 2.3 .CD

TOTAL (if last page of this schedule) 2 55,G7[
1$

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 personstentities 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)