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11_,n-,a~J 1o27,i~S

FOR INSTRUCTIONS, SEE BACK OF FORM FORM


Reset Fa
DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
(Rev . 07/2004) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Oniv

unI PAC. Comm . #


IMPORTANT: Indicate by # type of committee you are reporting for. Logged In
( 1 )Statewide/LegislaUve/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 Subdivision Candidate (6 )County PAC (9 )City PAC ( 10 )School Board or Other Political Computer
Subdivision PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
Late reports are subject to
possible civil and criminal
Office Sought District (if Senate or House) penalties .

JcsIZ~~-~~~~ ~ (z-7 /OS


SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

I AM FILING A J u tUI lS -~D QCJOI~~ ZNVPORT FOR (1) ELECTION 1(2)NON-ELECTION YEAR .
(report date) Indicate by #

K IF AMENDMENT TO REPORT DATED O CfO be-V' 19, , Local Committees, enter Date of Election

EI Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election Is held
(You must continue to file reports until a DR-3 Is filed .)

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 .) . . . . . . . . . . . . . .. . . . . . . .. . . . . .. . .. . .$ S $?s- 3s-~
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below) . . . . . . .. . . 35 . 00
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . .. . . . . .. . .. . .. . . . . . . . . . .. . . . . . . . .. . . . . . .
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . .. . . .. . . . . . .. . . . . . . .. . .. . . . . .
(Schedule H applies to Candidate s` Committees Only)
SUB-TOTAL . . . . . $ 5930-5S
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) . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . . . . .. . . . . . .$ '-E'-
-OUTSTANDING LOANS (From Schedule F -Attach Schedule F) . . . .. . . . . .. . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . S
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
FOR INSTRUCTIONS, SEE BACK OF FORM l~l
ResetForni ~1 SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B
(Rev . 07/03)
MONETARY
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)

Muni ~A G
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (If applicable) (disbursement) WAS MADE
(MMIDDIYR) AND PAC
CHECK
NUMBER
ID# JZSS'
R- e .
q ~Z~1a~l CK# 1012 ul s fJ C(-L~+71Ld
b1 $
IJe t~J k~-a n~ t~" . SO (o s C 6h

ID# I'l(o l SCtincl S ~ StCL-k (-h-u

o y G1~0
.r C Lane .
l CK# 101Q 134-
~O~P
lZ ol~v,-~1!)ti~s Jef i~-1 D LI)
ID# IZ06
C~
1 ---S46 sty ce+
4-,4-I, ,

n Z0
1 ':~10 CK#
4~) s t"1`) 5 0 =s I 1
1D# S~ y
~1~~ plz~ (~r Sty-~t 29 .P
l
. &Vcknduiew ~ c. tt 01
CK# IUZ1 ISS' N
`1130!0`-1 S0
v LL - tom. S 200
ID# "SAT~-k ~lir ~or,IL Scwi c.e LG`av-~.~

CK# c1 ~a_~ e 5 .x
0 J " lI
Tq
`Ds M SO 3~`i
1D#

CK# J . `-I O
-~ L

ID#
II

)~ CK# 5, 30

ID#

CK#

SUB-TOTAL $ .
~S
TOTAL (iflast 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 personslenlilies providing consulting, advertising, fund-raising, palling, 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 personlentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A.402(3)(i) .)

(for Schedule B)
OCT-19-04 04 :15 PM P . 02

F INSTRUCTIONS, SEE BACK OF FORM


FORM
DISCLOSURE SUMMARY PAGE
DR-2 DISCLOSURE
CO MITTEE NAME (Must be same as on Statement of Organization) (Rev . 0712004) REPORT

For Ofllce flee Only ~.  ., .._,


611 Pk( Comm . # ~~..~
IM RTANT: Indicate by # type of committee you are reporting for: Logged I n
(1 tatewldeli sglslatlvslJudge Standing for Retention Candidate (2 )State PAC (3 )State Party
(4 my Central Committee ( 5 )County Candidate (t3 )City Candidate ( 7 )School Board or Other Scanned 
Politl I Subdivision Candidate . .)county PAC (9 )City PAC (1 . chool Board or Other Political Computer
Su Melon PAC I I Local B to
._ .' Audited
C DIDATE COMMITTEES O a
Can idata Name _ ` Political Party (If applicable)
Late reports are subject to
possible civil and criminal
Offi Sought I' District (If Senate or House) penalties.

~;
~\ - V
Is ONATURE OF PERSON FILING REPORT
t'A _ato--& 6
TELEPHONE

I AM ~ILINGA DL4ZW.tr Ict--f- . . op y~ REPORT FOR (1) ELECTION /NON-ELECTION YEAR .


(report date) Indicate by #

Local Committees, enter Date of Election


[]CHECK IF AMENDMENT TO REPORT DATED

0C I}eck If this Is final (termination) report and attach Notice of Dissolution Form DR-3 . County A LocalCommittees, enter County In
which Election Is held
(You must continue to file reports until a OR-3 is filed.)

tart

STATEMENT OF CASH ON HAND


CAS K ON HAND at the beginning of the reporting period . (Total of all funds held by the ~-
committee. This amount MUST be the game as the cash on hand at the end
of the last reporting period or must be zero If this la first report filed.) .. ... . .. ... .. ... . .. .. . ... ...... . .. $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
.
Schedule A; Cash Contributions total (Attach Schadul® 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 soglies to rjogilatge' Committees Only)
SUB-TOTAL ..... $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ("also see debts and bans below) ....
Schedule F: Loan Repayments total (Attach Schedule F) .. .. . .. . .. ... ........ ... . . . ... .. ... .. ... ... .. .. ... ..
CAS ON HAND at the and of this reporting period (If final report balance must L4 Ici .14 (a
be zero) (Attach DR-3) ., . .., ...... ... .. .. . ... .. .. . . .. ... . . .... .. ... .. ... . .. ..... . . . .. . . . ... .. . . . ... .. . .. ... ..... . .... .... ... .$

"UN;AID BILLS (From Schedule D - Attach Schedule D) ....... ... ... ..... .. . . . ... . ... .. .. . ... ..... ... .. ... .. ... .. ... .. .. $
")N ND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .. . ... ... .. . .. ... ........ . . .. ... ... .. .. . .. .. .. $
"Ou STANDING LOINS (From Schedule F - Attach Schedule F) . .. ........ ... ............. . ..... ..... ... .. ..... ... $
ATE COMMITTC93 ONLY'
YES ONO
CONSULTANT BREAKDOWN (Schedule 0 Attached?)
,
VAL VE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
OCT-19-04 04 :15 PM P . 03

nttructions, See Back of Form SCHEDULE

TRIBUTIONS - MONEY TAKEN IN A MONETARY


(Rev. 07/03) RECEIPTS
(Including candidate's Pareonbl funds)

MITTEE NAME (Must be same as on Statement of Organization) 0 CHECK THIS 90x IF


AMENDING FORM

CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
R AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS 13 AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
SURE BOARD.

ION: Section 88©,32A(B), Iowa Code, prohibits the use of Information copied from reports end statements for sollchlng contributions or
Commercial purpose by any person other than statutory political commltteee .

ATE PAC ID NUMBER NAME AND ADDRESS F CONTRIBUTOR RELATIONSHIP UN IF FOR


RECEIVED (If applicable) TO CANDIDATE' RECEIVED FUND-
(M DD/YR) AND PAC CHECM, (If applicable) RAISER
NUMBER INCOME

at f~
IDI#
~u cca w_
CK# (aoL S , 10'= Qockc
-14 L
100

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

TOTAL (if last pogo of this schedule)

contribution to the
' Died ure law requlrss candidate committees to disclose the relationship of any relative making a
as Relationship muet be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
cotrvn Page of
meals e) If surname of contributor Is the same as candidate, but there Is no (for Schedule A)
temlll I roiebonahlp,
. enter'not applloahle' In the relationship column.
OCT-19-04 04 :16 PM P .04

F4 R INSTRUCTIONS, SEE BACK OF FORM


SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT S MONETARY
(Rev . 07/03) EXPENDITURES
STA PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CAN DATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC 4 HECK NUMBER FOR EACH EXPENDITURE . A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA
AMENDING FORM
ETHR'S A CAMPAIGN DISCLOSURE BOARD,

CO MITTEE NAME (Must be same as on Statement of Org~enlzetlon)

h'(hfl c,
CANDIDATE NAME AND ADDRESSTO WHOM P AMOUNT
D TE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXP NDED (If applicable) (Disbursemeng WAS MADE
(MM/ D/YR) AND PAC
CHECK
_ NUMBER

`f r l fi~1~L

CK# I~(4 '~- $ (b G


IOp l 91~c~t-u, S t 3
1D# 11j0 C4XQ, C~ lames
"'l 7a Saw U-d~d2ew~r~ ,
CK# [Gda
cuvt4-ea J~A 5IuoI -- 1924
- ()L
I D# Vu,166~ ISPA . t .

CK# Ov 3 OCL10ztn a. 5~3S~I


ID# S90 ~OtVck-
~
(Do
CK#
10CA k~v ,Qay, s~ Sl X3'1
ID# ~1o5- p v t~\
~~r~ C~ i 1 o0
`~ CK# ~oUS ~,,° `~ ~ easy

CK#
R
P-40- - I t7O~
ID# b4l IC2~21L( '
1 C
lo~+ .1 C~c~~` ~ - CM~ ~ oz- So 0
CK# 100 -1
LI (A-J LIZIO t o S ~ y S(~
ID# ~3~~ --~'
.~ trf1~S fh~1, `~3-ti 1c11~
~' 1 b 4 CK# IOC
~~ Cs~ IQs
SUB-TOTAL $ `y

TOTAL (If last page of this schedule) $

THIS OX APPLIES TO CANDIDATES' COMMITTEES ONLY :


to Schedule H Instructions,)
Purc ses of certain campaign proper+y costing $500 or more must also be Inventoried on schedule H, (Refer
organizing services must 8100 be detail Itemized on
Expe dltures to pereons/entlties providing consulting, advertising, fund-raising, polling, managing,
personlentlty on behalf of the candidate's committee, (Refer to
Sch ule G by the amount, purpose, and date of each type of expenditure made by the
Sch ule G Instructions and Iowa Code 68A.402(3)(0 .)
Page cfI--------

(for Schedule B)
OCT-19-04 04 :17 PM P . 05

F~ :1 INSTRUCTIONS, SEE BACK OF FORM


SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY
(Rev" 07/03) EXPENDITURES

M{~1(~
STAT PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CAND DATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC ~" HECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS Is AVAILABLE FROM THE IOWA
ETHIi 3 a CAMPAIGN DISCLOSURE BOARD . AMENDING FORM

CO MITTEE NAME (Must be same as on SIS(ernent of OrganlaeNon)

,I PA Cr
CANDIDATE NAME AND ADDRESS TO WHOM PURP E AMOUNT
D TE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMI DIYR) AND PAC
CHECK

V -~--
NUMBER
10 Ip# 1004
SeLtiKt~
11:5 L10 W, ice W`-- Ccr~ , vt vvj7 )o $ SD
CK#

I0
_ l6UC) L~ybooo U~0 ~
- ID# L4 ICLkQLe-' - 1/r VL,
'~ o . Boy- ~o z a
CK# IrUYtIMejSF 1
[OI

'~(n 1~ Seti l ~ b-(, U-Z.r --


04
cK
1010 G-1ad t.a c" ~~ 63 _
ID# _ 5AkZC '
- ` IG~
CK# 10

ID# X33 3 C' ,a 4s ~ ~ . tt loo -.-


Ctr~rr'~,..
I o01 '1. k,
cK# to
ly `wtRs a , ~I a-o I

I L(

.-. , / 15#q -t. oa, --


IOC
CJ 1 C~

o I D# Lo v(>F
_Vs _ta ti J-) w ,- .
l S" aSZ~
cK#

SUB-TOTAL $ tj(J
c~
TOTAL (N last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEE8 ONLY :


to Schedule H Instructions.)
Pur e of certain campaign property costing $600 or more must also be Inventoried on Schedule H. (Refer
services must also be detail Itemized on
Eupe dlturea to persona/entltles providing consulting, advertising, fund-raising, polling, managing, organizing candidate's committee . (Refer to
Sch ule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the
Sch_ ule G Instructions and Iowa Code6BA .402 3 I . )
Page of

(for Schedule 8)
FOR INSTRUCTIONS, SEE BACK OF FORM Kes
U~~ et k'or. J SCHEDULE
.~,:~~.w,~
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07103) 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 8 CAMPAIGN DISCLOSURE BOARD .

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

FprC,
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
ID# J~ C~ ,;_ Cl f uls~ " Ce -~~ ~-,
uy ~ ~ cr~ti
CKII

'2q 015t oc,,C Cjv

CK#
54

CK# « .~, -gyp- _00


I°a-l L ~ ~aUO ~
ID#
~T ,
CK#

I D#

CK#
r
ID#

ID# ' '

CK# t

SUB-TOTAL $ t~o C)
$
,5- ,,
TOTAL (if last page of this schedule) IV
j

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
I Schedule G instructions and Iowa Code 68A .402(3)(i) .)
Page _--b- of

(for Schedule B)

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