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Oct 1'9 04 11 :23a

FOR INSTRUCTIONS, SEE BACK OF FORM Rcsct Form FORM


DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURL

COMMITTEE NAME (Must be same as on Statement of Organization)


(Rev . 0%/2004) I REPORT

For Office Use Only  __ ._.,

judicial Accountability Croup Comm S

Logged ltIV
IMPORTANT: Indicate by S type of committee you are reporting for: 12
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )state Party Scanned
(4 )County Contrll Committoo ( 5 )C un Cnndid to (G )City Candidato (7 )School Board or Other
Political Subdivision Candidato ( 0 ) .9t)w1F~E Pa~yC"x(,101 of Board or Othor Political Computer
Subdivision PAC (11) Local Ballot /ss Audited

Late reports are subject to


possible civil and criminal
penalties .

SIGNATURE OF PERSON FILING REPORT

Octribcr 19, 2004


I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by # 1711

Loral Committees, enter Date of Election


[]CHECK IF AMENDMENT TO REPORT DATED _,

County & Local Committees, ontor County m


[] Check it 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 DR-3 is filed .)

riwr~

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 t~
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) . . . . . . . . . .
1,*? (e 5,0 v
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d

(Schq0jute H applies to Candidates' Committees Only)


SUB-TOTAL .. . . . $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) ("also sec debts and loans below) . . . .
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . ., . . . . . . . . ." . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CASH ON
c 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) . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . . . . . . . . . $
CANDIDATC COMMITTEES-ONLY :.
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
Oct 1 "9 04 11 :23a P. 2

For Instructions, See Back of Form Reset Form

CONTRIBUTIONS - MONEY TAKEN IN


(Including candidate's personal funds)

COMMITTEE NAME (Must bo same as on Stotorrxmt of Oryaniiation)


Judicial Accountability Group

STATIC CANDIDATES NOTE : IF A CONTRIOUTION IS RrC(`IV('D FROM A STATE PAC (POLITICAL ACTION COMMITTCF), LIZ-,T THU PAC IDENTIFICATION
NUMBER AND THE PAC CHLCK NUMBER IN THE DESIONATI, .D COLUMN . A LIST OF ID NUMnrR,6 1 ;; AVAILABLE FROM I Mr, IOWA LTHICS 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 statu" political Committees,

DATE PAC ID NUMBLR NAME AND ADDRESS Of CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE" RCCCIVCO FUND-
(MMIDO/YR) AND PAC CHLCK (it applicable) RAISER
NUMBER INCOME

I +1 o `I

I[7#
CS . l~ 4: tit t.a ~ { "F> v>t
CK# Zo25 N .r~~ ZO S°,a0

[D* ., _ .

oxaL oy :: r

'5' r

I I
.Y -/ -"
ID*

C1fsll i IdI CK# 5"r- -A v& i~1 . SfJ , t.1 c~

5 p <. ; "ti' -T Cq u L

, .~j H L ~ rJ B fw ~c.
ID#
fV S is (~ .~ L-:', -7, ~

O~l20 J o / h3 a A2!4' r-4{ G U


CK# Zi

ID#
f~Av iJ wq4 (L -'! _
CK# X12 ;-L. -5
rG-o°
V- .~. r 7(7 L `+
ID# CjA V t~; fJ iT2
Of. ~~, o i o `J! ZI I.
CK# Iar Izu nf~ A,'.' o O _ D 4z;
!OV i
Q-A" l_ - .~ -7, 1 TA S
jr-
0'i
CK#

SUB-TOTAL
$ %7 So
TOTAL (if last page of this schodula)

- Discbaure law requires candidate Commitktltg to disclose the rolationShip of,ny mlative making a contribution to the
Comminno. Rolotionshlp munt b) anown to the third dog" of corrienfluinity (blood rolatlva)) and affinity (mlatlvns by
of 2-
marriage) . If sumamu of contributor is the some as candidate, but there IS no Page !
familial relationship, enter "not applicable" in the relationship column . (for ScheduleA)
Oct 1"9 04 11 :23a P .3

For Instructions, See Back of Form SCHEDULE


Reset Form
A I MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rov.07/03) RECCIPTS
(Including candidate's personal funds)
C:] CHECK THIS BOX IF
COMMITYEE NAME (Must bo sanlo as on Slotomont of Omanizabbn) AMENDING FORM

Judicial Accountability Group

STATE CANDIDATCS NOTF : IF A CONTItI1 .iUTION IS RrCr1VF.D FROM A TATr PAC (POLITICAL ACTION COMMITTEE), LIST THC PAC IDENTIFICATION
NUMIILR AND THE PAC CHECK NUMDFR IN rHL DESIGNATED COLUMN . A LIST Or' ID NUMBERS IS AVAILADLC FROM T HI . IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 686.32A((i), Iowa Codo, prohibits the use of information copied from reports and statemonts for soliciting contributions or
for any commercial purpose by any person othor than statutory political commifos .

DATL PAC 10 NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RCCC..IVEO (if npplicablo) TO CANDIDATC" RFCEIVED FVND-
(MM/DDIYR) AND PAC CHECK (if applic ablo) RAISCR
NUMBER INCOME

Cn ' ~ E 1 o ~ CK#
',l l tv " ) ~k' ;'G"'.rc`", I,rw~ $ jOr
~.I1t to r~
ID# Y (,w
Z40 r1 rz<,tj

cK# WI S~Q0 . ~-o


v > "J ? vo 0
~.

'10 co
CK#
'1Vt .l s/~ ~;~ T, G
100
Y A ~;
1 a (I2, O t1 CK# `It 13'6 ~10 ~~ ;T 2L- , 0 o
U 4_MS n/ _~ ~ ro

to ~t-1 ~ 0 1 CK# Id . ap

1D#

tot'. +o y
CK#
S ~rl r ~,^'J^ p0

ID# ,
r

Nc, ~

ID#

CK#

SUB-TOTAL

TOTAL (Iflest page of this schedule)

' Dinclonure IBW requires candidato Committee» to discloso the rolobonsup of any relative making a contribution to the
committee. Rolution,"ihp must W shown to the third dognx) or connAnguirvty (blood rolutivoo) pad affinity (miativos by
marriage) . It surname 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)
Oo~t 1°9 04 11 .,24a p .4

Reset Form
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT


B
(Rev . 07/03)
I MONETARY
EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIIIUTIONS MADE TO STATr WIDY . OR LECISLATIVr
CANDIDATES, LIST THL CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNA1'I ;0 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
CTHICS & CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Must be same as on Statornont of Organization)

CANDIDA'1 L NAME AND ADURLSS TO WHOM PURPOSIL AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if appficable) (Disbursement) WAS MAUL
(MMIDD/YR) AND PAC
CHECK
NUMBER
I D# v 0-11! 2 . ; T5
O< a _ .4°'S $ 2 . 00
df CK# 1
to N~u ...I ~ S _ !J~
'X03' f)
IDO Poi-J'__ . .il. v,. .\
CK#\oo2_
IDit A
(S

10 O\A

.. .
, :L r .. !'A .4 V. \~ ._, Z., 223,
CK#
Go o St V4 c~'f~
ID#

CK#

ID#

CK#

I D#

CK#

SUB-TOTAL $

TOTAL (if last page of this schedule) $ 3

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purchaser; of airtmn campaign property costing $500 or more must also bo mvontonod on Schodulo H, (Rotor to Schedule H msbuCllonrc .)

Expenditures to personstentities providing consulting, advertising, fund-raising. polling, managing, organizing services must also be dotail itemized on
Schedule G by the amount, purpose, and date of each type of oxpondbture -ado by the perinfontily on behalf of the candidates committee . (Refer to
Schodulo C inutruction5 ;md Iowa Codu GAA .40Z(J)(\) .)

Page _!- of I -

(for Schedule 8)

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