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FOIL INSTRUCTIONS, SEE BACK OF FORM FORM

r
DR-2 I DISCLOSURE
DISCLOSURE SUMMARY PA (Rev. 11/97) REPORT

For Office Use Only


Comm. #
Indexed
Audited
Compute r
( t )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
( 4/)Support State of Candidate
y
.mar y ~~ -~V»
SIGNATURE OF TREASUR (or person filing this report) TELEPHONE

Penalties Due For Late Filed Reports Range from $10 to $400

SEE INSTRUCTION S ON BACK AND COMPLETE THE FOLLOWING SENTENCE :

I AM FILING A l ~~ oZ Q0/ REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR.


(report date) Indicate one

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

County & Local Committees, enter County in


C] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. which Election is held
(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) ...... ..................... .. .... .. .. .. .. ..... ... 5a7F 3 7
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) ......... .. ............................. ................. ..
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:
YES NO
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 (Rev . 02196) RECEIPTS
(Including candidate's personal funds)
Q/ CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

sT~.A CANDIDAT NOTE : IF A C NTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
N BER AND THE PAC CHECK NUM ER 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 (it applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER
ID# _

CK#

ID#

cK#

ID#

_ CK#
CV
ID#

- ~v
ID#
&G.~`~~
CK# i

ID#

`~ CK# (P L

A
ID#

CK#
_ G( / ~ ~~ ~G aC~~S
iv#

CKI

ID#

a3~~-S G~i dU
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) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page ~- of
(for Schedule A)
familial relationship, enter "not applicable" in the relationship column .
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN .. . (Rev . 02/96) RECEIPTS
(Including candidate's personal funds)
F/ CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
^ V

~ce
STATE CANDIDAT NOTE : IF A CIQNTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
N BER 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/DDIYR) AND PAC CHECK (if applicable)
NUMBER
ID#

6lPlo LtJrz
, cd
$
CK#
. //~ o3c
ID#

CK#

ID# ~~ 2 1Liw~Af
"I~ CVC.lr ~ 'Y~

717

ID#

cK#

ID#
2Dx_
CK#

CK# 757

ID#

C
7/

6 -~ o C'
ID#

`
~GYo3 f,,i-A

IP
CK# ~ 333
~ 1~~a ~,5v so
ID#

CK#
Ary >c . 03. 5 ^ )
SUB-TOTAL
90
TOTAL (if last page of this schedule) -
3
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
of Page .
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 . (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN . .


A I MONETARY
(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

STA''E CANDIDATE.~/NOTE : IF A C~NTRIBUTION 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/DDIYR) AND PAC CHECK (if applicable)
NUMBER

JlAe
ID#
O Latl~ .~, O. ~..

/l -5

-t-r1 ,~ ag,

ID#
t9a ,,

.Z
CK#
.~~~ .. p 12

CK#
01 ;!2k4aicX ~J Jr,
ID#

ID#

CK#

ID#
r
CK#

CK# 15`411C& ~Zt

SUB-TOTAL

TOTAL (if last page of this schedule) "


3
' 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 . 3 of
familial relationship, enter "not applicable" in the relationship column . (for Schedul4A
For Instructions, See Back of Form SCHEDULE
A
I
MONETARY
CONTRIBUTIONS --MONEY TAKEN . . (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

STFy1"E CANDIDATgg NOTE: IF A CIQNTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NWBER AND THE PAC CHECK NUM13ER 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


RECENED (if applicable) TO CANDIDATE' RECEIVED
(MM/DDIYR) AND PAC CHECK (if applicable)
NUMBER
ID#
lpp~ 7 ~~' ~utlt~
$
17 07
C K#

ID# 4 .6j ~'.. . l. . ~.


CK#
old'

' ,
ID#
'i'tititlti. , ~ti
~ ~~~ ~ i

C
ID#

CK# goo - gar, D -f l o e


'o 14~?O, 00

CK# )f1-5 i

CK# 5107-17',W:,
v
ID#

ID#
le
CK# w` ~`
SUB-TOTAL
3
TOTAL (If last page of this schedule)
$ 5~
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
Page - _ of
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no
(for Schedule A
familial relationship, enter "not applicable" in the relationship column .
POH INS I RUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev. 09/97) 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)

~)l , rG' rl !~
CANDID 41E NAME AND ADDRESS O WHOM PURPOSE AMOUNT
1 ; DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
D#NUMBER
I

CK#

M1
v
c r.2;7
CK#
Zyj1AK, kr,,~ u",
ID# ,
,-~.- I
l/l~t~Crl~c ~vG.C~C~

ID#

w y ryi
IN

CK#~ "^
u-(o o 76
ID#

CK#
aZ 7~l wt~L o
ID#

CK# ~

SUB-TOTAL $

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 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 persoNentity on behalf of the candidate's committee . (Refer to
Schedule G in structions and Iowa Code 56.6(3)(1) .)

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

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev. 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE F07 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 .

CO ITTEE NAME (Must be same as on Statement of Organization)

71
ANDIDATE % NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
~~DATE vID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# BrerrWVirt

ID#

CK# /O& % 7
r7
ic,- 7-0
ID#

CK#
~~~ 1/7e ~r~

EZZI
vw v

ID#
12
'32r, C

1
Z

U~77 7~ -
ID#
4
r2 5L
G

.,~ CK#
, K
f 2&-
17

/C-lo p
f7
CK#
l~1 ~p
SUB-TOTAL

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 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 56 .6(3)(i) .)

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

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev . 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE O 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 .

C MITTEE NAME (Must be same as on Statement of Organization)


N

,~~ NDIDATE NAME ANu ADDRESS TO WHOM PURPOSE AMOUNT


DATE 1 tb NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
N UMBER

CK#

ID#

CK# G'
77 d ~? 0
r .~~/ ~Kaj~Cl r ` 51S~i a ~ ~r
CK# &~,~'
ID#

CK# f3 l~ %7n

ID# `

CK# , 7~ ~ , ~~L 7 7
1D#

8-5-40 CK#
v
ID#

11 CK# 77

CK#
rzti'A ;~~ ' I l Z2v~' l
SUB-TOTAL $

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 on Schedule H . (Refer to Schedule H instructions .)

Expenditures to personslentifes 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 persoNentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i) .)

(for Schedule B)

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