07/19/2005 11 :56 5152816137 ITE PAGE 01

FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization)
\'~-
W/ (Rev. 07/2004) REPORT

For Office Use Only

Comm .
IMPORTANT: Indicate by * type of committee you are reporting for: Logged in
( 1 )Statewide/Legislatlve/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
(4 )County Central Committee (5 )CodWiendldate (t3 )City Candidate ( 7 )School Board or Other
Political Subdivision Candidate ( 8 )Coup PAC ( 9 )City PAC (10 )School Board or Other Political Computer
Subdivision PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
AL 19 Zldlk,
Candidate Name Aolitical Party (if applicable)
Late reports are subject to
possible civil and criminal
".District (if Senate or House) penalties.

TELEPHONE

'-/i~
I AM FILING A J l REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by # In

Local Committees, enter Date of Election

CHECK IF AMENDMENT TO REPORT DATED

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
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?) YES ;~YNO
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H)
 07/11/2005 11 :56 5152816137

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 11 :56 5152816137 ITE PAGE 03
07/1912005

JAN-19-2005 13=56 ALLEGRA PRINTING 319 396 9630 P .04i04

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AMBNDINO FOAM

TIC t Foot
Amr4w AND AMAMO TO QANOUDM " OF IN Km PAM MAIaImT FUND4w ssA

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TOTAL P .04