FORI NSTRUCTI ONS, SEE BACK OF FORM I SC SU UM RY AG COM MI TT EE NAME (Must b e same ason Statement o f Organization) Denise O' Br i en f o r Secretary o f Agriculture IMPORTANT : Indicate b y # type o f c o mmi t t e e y o u a r e reporting f o r L ( 1 )Statewide/Legislative/Judge Standing f o r Retention Candidate ( 2 )State PA C ( 3 )State Party ( 4 )County Central C o mmi t t ee ( 5 )County Candidat e ( 6 )City Candidate ( 7 )School Board o r Other Political Subdivision Candidate ( 8 )County PAC ( 9 )City PA C ( 10 )School Board o r Other Political Subdivision PA C ( 1 1 ) Local Ballot Issue CANDI DATE COMMI TTEES ONLY : Candidate Name Political Party ( i f applicable) Denise O' Br i en Democr at Office Sought District ( i f Senate o r House) Secretary o f Agriculture Late reports a r e subject t o possible civil a n d crimi nal penalties . Pursuant t o Iowa Code section 6 8 B .32A(7) t h e candidate, f o r a candidate's c o mmi t t e e , a n d t h e chairperson, f o r an y other typeof c o mmi t t e e , i s t h e individual rsoonsible f o r filing t i me l y a n d accurate r e p 4s . SI GNATURE OF PERSON FILING REPORT I AM FILING A May 1 9 (report date) m CHECK I F AMENDMENT T O REPORT DATED M ay 19 ( a me n d e d 10/06/06) Check i f this i s final ( t e r mi n a t i o n ) report an d o f Dissolution Fo r m DR- 3 . (You must con ti nue t o file reports until a DR- 3 is fil ed . ) Reset Form REPORT FOR ( 1 ) ELECTI ON /( 2) NON- ELECTI ON YEAR . Indicate b y # FORM - 2 I DI SCLOSURE ( Re v 12/2005) REPORT Fo r Office Us e On[v ~- ~ Comm. # Logged I n Scanned Computer Audited File with : I owa Ethics and Campai gn Disclosure Board 5 1 0 E . 1 2 ` h , S t e . 1 A De s Mo i n e s , I o wa 50319 F a x 515-281-3701 ~i ~- 7~l as s 6 TELEPHONE DATE S I GN D Local C o mmi t t e e s , en ter Da te o f Election County & Local C o mmi t t ees, enter County i n wh i ch Election i s held NO STATEMENT OF CASH ON HAND CASH ON HAND a t t h e beginning o f the reporting period . (Total o f a l l funds he ld b h e c o mmi t t e e . This amount MUST b e t he same a s t h e cash o n hand a t t h e e n d o f t h e last reporting period o r mu s t b e zero i f this i s first report filed . ) ....... ....... ....... . ...... ...... . $ 9,856 . 1 9 ADD TOTAL MONEYTAKEN I N T HI S PERI OD Schedule A : Cash Contributions total (Attach Schedule A) (*also s e e in-kind below) ....... . ..... .. ....... 24,970 . 7 7 Schedule F : Loans Received total (Attach Schedule F ) . . ........ . ....... . ....... ...... . . . . . ......... ...... . . .... 0 . 0 0 Schedule H Total Sales o f Campai gn Property (Attach Schedule H ) . . . ....... ...... . . . . ......... . .... . .... 0 . 0 0 (Schedule H aoalies t o Candidates' Commi t t e e s On l y ) SUB- TOTAL ..... .... ....... ..... $ 34,826 . 9 6 SUBTRACT TOTAL MONEY SPENT T HI S PERI OD ' A k \ , . ~ t - . Schedul e B : Expenditures total (Attach Schedule B ) (**also s e e debts a n d loans below) . . . . .... . . . 21,756 . 9 5 Schedule F : Loan Repayment s total (Attach Schedule F ) . . ......... ..... . . . . . ....... ...... . . . . . ........ . .... . . 0 . 00 CASHON HAND o f t h e e n d ofthis reporting period ( i f final report balance must 13,065 . 0 1 b e zero) (Attach D R- 3 ) . . . . ....... . . ...... . . . . ........ .......... ...... . ........ . . ...... ........ ........ . ...... . . . . . . . . . $ * ' UNPAI D B I L LS (From Schedule D - Attach Schedule D ) ......... ...... . . .... . . ...... . . . . . ...... .... . . . . . . ....... . , ..... . $ 5 ,215 . 5 2 * I N KI ND CONTRI BUTI ONS (From Schedule E - Attach Schedule E ) . . . . . ...... . ...... . . . . . . ..... ....... . . . . ....... ...... . $ 3 ,715 . 4 1 "" ` OUTSTANDI NG LOANS (From Schedule F - Attach Schedule F ) ...... . . . . . ....... ....... . . . . . . ...... ....... . . . . . ...... . ........ . $ 0 . 00 CONSULTANT BREAKDOW N (Schedule G Attached?) YES CANDI D A T E C OMMI TTEES ONLY : VALUE OF CAMPAI GN PROPERTY (From Schedule H Attach Schedule H ) STATE COMMI TTEES : Submit a reconciled campaign account bank statement i n January o f each year .
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COMMI TT EE NAME ( M u s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )
De n i s e O' B r i e n f o r S e c r e t a r y o f A g r i c u l t u r e
I MPORTANT : I n d i c a t e b y # t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o rL
( 1 ) S t a t e w i d e / L e g i s l a t i v e / J u d g e S t a n d i n g f o r R e t e n t i o n C a n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t a t e P a r t y( 4 ) C o u n t y C e n t r a l C o mmi t t e e ( 5 ) C o u n t y C a n d i d a t e ( 6 ) C i t y C a n d i d a t e ( 7 ) S c h o o l B o a r d o r O t h e rP o l i t i c a l S u b d i v i s i o n C a n d i d a t e ( 8 ) C o u n t y PAC ( 9 ) C i t y PAC ( 1 0 ) S c h o o l B o a r d o r O t h e r P o l i t i c a lS u b d i v i s i o n PAC
( 1 1 ) Lo c a l B a l l o t I s s u e
CAND I DATE COMMI TTEES ONLY :
C a n d i d a t e Name
P o l i t i c a l P a r t y ( i f a p p l i c a b l e )
De n i s e O' Br i e n
D emo c r a t
O f f i c e S o u g h t
D i s t r i c t ( i f S en a t e o r H o u s e )
S e c r e t a r y o f A g r i c u l t u r e
L a t e r e p o r t s a r e s u b j e c t t o p o s s i b l e c i v i l a n d c r i mi n a l p e n a l t i e s . P u r s u a n t t o I o w a Code s e c t i o n 6 8 B . 3 2 A ( 7 )t h e c a n d i d a t e , f o r a c a n d i d a t e ' s c o mmi t t e e , a n d t h e c h a i r p e r s o n , f o r a n y o t h e r t y p e o f c o mmi t t e e , i s t h ei n d i v i d u a l r s o o n s i b l e f o r f i l i n g t i me l y a n d a c c u r a t e r e p 4s .
SI GNATURE OF PERSON F I L I N G REPORT
I AM F I L I N G A
May 1 9
( r e p o r t d a t e )
mCHECK I F AMENDMENT T O REPORT DATED Ma y 1 9 ( a me n d e d 1 0 / 0 6 / 0 6 )
Che c k i f t h i s i s f i n a l ( t e r mi n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n Fo r m DR- 3 .
( Y o u mus t c o n t i n u e t o f i l e r e p o r t s u n t i l a DR- 3 i s f i l e d . )
R e s e t Fo r m
REPORT FOR ( 1 ) ELECTI ON / ( 2 ) NON- ELECT I ON YEAR .
I n d i c a t e b y #
FORM
DR-2
DI SCLOSURE
( Re v 1 2 / 2 0 0 5 )
REPORT
F o r O f f i c e Us e O n [ v ~-~
Comm . #
L o g g e d I n
S c a n n e d
C o mp u t e r
A u d i t e d
F i l e w i t h :
I o w a E t h i c s a n d Ca mp a i g nD i s c l o s u r e B o a r d
5 1 0 E . 1 2 ` h , S t e . 1 A
De s Mo i n e s , I o w a 5 0 3 1 9
F a x 5 1 5 - 2 8 1 - 3 7 0 1
~ i ~ - 7 ~ las s
6
TELEPHONE
DATE S I GN D
L o c a l C o mmi t t e e s , e n t e r D a t e o f E l e c t i o n
C o u n t y & L o c a l C o mmi t t e e s , e n t e r Co u n t y i n
w h i c h E l e c t i o n i s h e l d
STATEMENT OF CASH ON HAND
CASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T o t a l o f a l l f u n d s h e l d b y t h e
c o mmi t t e e . T h i s am o u n t MUST b e t h e same a s t h e c a s h o n h a n d a t t h e e n do f t h e l a s t r e p o r t i n g p e r i o d o r mu s t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
F o r I n s t r u c t i o n s , Se e B a c k o f Fo r m
CONTRI BUTI ONS - - MONEY TAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( M u s t b e same a s o n S t a t e m e n t o f O r g a n i z a t i o n )
De n i s e O' B r i e n f o r S e c r e t a r y o f A g r i c u l t u r e
R e s e t F or m
STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM ASTATE PAC ( P OL I T I CA L ACTI ON COMMI TTEE) , L I S T THEPACI DENT I F I CAT I ONNUMBER ANDTHE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD
CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY
( R e v . 0 7 / 0 3 ) RECEI PTS
! ~ I CHECK T HI S BOX I F
AMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORRECEI VED ( i f a p p l i c a b l e ) TO
CANDI DATE" RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME
I D#0 1 / 0 2 / 0 6
L a n a Ros s1 0 0 . 0 0
CK#295 250 2 N 5 t h S t . , Ma r s h a l i t o n , I A 5 0 1 5 8
I D#
0 1 / 0 2 / 0 6Ka t h l e e n De l a t e
2 50 . 0 0CK# 2 3 0 R a p h a i l Av e . , Ames , I A 5 0 0 1 4
D#Ka p p i e S p e n c e r
1 0 0 . 0 00 1 / 0 2 / 0 6CK#
7 1 5 13 7 3 5 Be n e v a Oa k s Way , S a r a s o t a , F L 3 4 2 3 8
D#
0 1 / 0 3 / 0 6Be n B u r k e t t 50 . 0 0
CK# Bo x 2 2 7 8 6 , J a c k s o n , MS 3 9 2 2 58 3 9
I D#Ro b er t a T i l l - R e t z
2 5 . 0 00 1 / 0 3 / 0 6CK#
2 5 8 46 0 0 Man o r Dr . , I o wa C i t y , I A 5 2 2 4 6
I D#I v a n Web b e r 2 50 . 0 00 1 / 0 3 / 0 6
CK#2 7 7 8
1 2 7 5 1 6 t h S t , We s t De s Mo i n e s , I A 5 0 2 6 5
Fo r I n s t r u c t i o n s , Se e Ba c k o f Fo r m
CONTRI BUTI ONS - - MONEY TAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s on a l f u n d s )
I COMMI TT EE NAME ( Mu s t b e s ame a s o n St a t eme n t o f O r g a n i z a t i o n )
Re se t F or m
STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECE I V E D FROM A S T AT E P AC ( P O L I T I C A L ACT I ON C OMMI T T E E ) , L I S T T HE PA C I D EN T I F I C A T I O NNUMBER AND THE P AC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM T HE I OWA E T HI C S ANDCAMPAI GNDI SCLOSURE BOARD .
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a Code, p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a ny c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDUL E
A MONETARY
( R e v . 0 7 / 0 3 ) RECE I PTS
CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT q I F FORRECE I VED( MM/ DD/ YR )
( i f a p p l i c a b l e )AND PAC CHECK
TO CANDI DATE'( i f a p p l i c a b l e )
RECE I VED FUND-RAI SER
NUMBER I NCOME
I D# T D An r , ~ v r 1 m¢ i ( Yr AV\
o 1 l o g l o b CK# 7 b 3 o As h$ ~d ~~
I D# a Y - 0 440 1 1 0 5 1 0 4 CK # avSb 5.
1
e , , ld
i l ~ f 6sda ~ ' )
° v v ~ .I D# f a n I R '
s st ! d v ~ , ( c ,
aCK # k9~ l Y t , c f
~wl 4Y1 l y 1 , ~ Gd - / 3 °1
Sd. t 7 Z~
I D#-P a 4 y ' I c , i u . ' ~ e r r b a ~ t > ~
V I d L o b CK # ( o 4? a 6 i A 1 , Z ) UHA s I e f f , / 4 I *
Fo r I n s t r u c t i o n s , Se e Ba c k o f F or m
CONTRI BUTI ONS - - MONEY TAKEN I N
( i n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEENAME ( Mu s t b e s ame a s n St a t eme n t o f Or g a ni z a t i o n)
0,
STATECANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C AL ACT I ON COMMI TTEE) , L I S T THEPAC I DENT I F I CAT I ONNUMBER AND THEPAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I L ABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD
CAUTI ON : Se ct i o n 6 8B . 3 2 A ( 6 ) , I o wa Cod e , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o pi e d f r o m r e p o r t s a n d s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o r
f o r any c omme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY
( Re v . 0 7 / 0 3 ) RECEI PTS
QCHECK THI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE* RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER
NUMBER I NCOME
I D# T y y t , r , l a k ,0 / / 1 q 0 b 7 3 a . NV~ l ~ a m t 4 s L . n 09
c K#r ( 4 j d OZ l
I D# ~~i - h Gt ) e 1
A Y ,0111Y11 0 1 0 CK# 2 ; d b s - t ~
wr w t + h ( A ' o 3DI D#
SL t , 2 .. ~uCYnl n
0 1! / 6 / 0 6 CK# 0 1 1 1 3 Z 00S 1 , 74
I D# 4 t . S a P u Y v l jv y b j o &,
C C K # 4 ~ ' ~ - s - Av e aZ~ .1 A 5d 6 0- 1 4
I D # K e r r T r
CK# P . v 3 1 ~A v t )
F 7AAyKf _ X15 5 0 ?
I D #- 7 1 4 l - ZWW__
a l j r ~ ~ d b CK# 2b c - 5 C A V 5 4 n l . - f `
F o r I n s t r u c t i o n s , Se e B a c k o f F o r m
CONTRI BUTI ONS - - MONEY TAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( M u s t b e s a m e a s o n S t a t e me n t o f O r g a n i z a t i o n )
QI &YIN
5- 7cw- dvye~As r
R e s e t F o r m
S T A T E C A N DI D A T E S N O T E I F A C ON T R I B U T I ON I S I R E C E I V E D F R O M A ` ~ T A T E P A C ( P O L I T I C A L A C T I ON C O MM I T T E E ) , L I S T T H E P A C I D E N T I F I C A T I O NN U M B E R A N D T H E P A C C H E C K N U M B E R I N T H E D E S I G NA T E D C O L U M N A L I S T OF I D N U M B E R S I S A V AI L A B L E F R O M T H E I OWA E T H I C S A N D C A MP A I G ND I S C L OS U R E B O A R D
CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mm i t t e e s
SCHEDUL E
A MONETARY
( R e v . 0 7 / 0 3 ) RECEI PTS
QCHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR REL ATI ONSHI P AMOUNT 4 I F F ORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER
NUMBER I NCOME
a l l l L l 0 6 CK#/ 1 11 - , ' Dwa i Av - -
S l - A -t ; -701aI D # ~ I l r r ~
O l 1 J ° f l l l h CK#
w~~_ /
A 4 A , , T ' i t v 1 . 1 4 § 1 7 aI D # " ~hY , t ' e o t wpmovd G l ~ x b )
o r / a ~ l a z CK# 3 0 3 1 P - 0 5 5 ~ ' - (
I D # S At ? pY1An t v ' , ~ D) ' ) P~ ( l t r e ~ ~
0 1 / " $ 1 6 +9 CK# 1 0 8r t o t o S 0 b 1 3
I D # 1 ! / o a w* G. ~ i L ~
6 1 / 0- 6 10 6 CK# b b s Nw ~ 1 ~ ~ P~ / v a . ta l f . ~ O~ 9 7 3 0 - 3 3 1 b
Fo r I n s t r u c t i on s , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEY TAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s op S t a t eme n t o f _ O r g a n i z a t i o n )
O
R e s e t Fo r m
STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECE I V ED FROM A S T AT E PAC ( P O L I T I C A L ACT I ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM T HE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e, p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c omme r c i a l p u r p o s e b y a ny p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY( R e v , 0 7 / 0 3 ) RECEI PTS
Q CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR RELAT I ONSHI P AMOUNT J I F FORRECEI VED( MM/ DD / YR )
F o r I n s t r u c t i o n s , Se e Ba c k o f F o r m
CONTRI BUT I ONS - - MONEY TAKEN I N( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TT EE NAME ( M u s t b e s a m e a s o n S t a t e m e n t o f O r g a n i z a t i o n )
0t br ( p*_4r
0 " ~
R e s e t ' F o r t n ;
S T A T E C A N D I D A T E S N O T E I F A C O N T R I B U T I O N I S R E C E I V E D F R O M AJS T A T E P A C ( P O L I T I C A L A C T I O N C O M M I T T E E ) , L I S T T H E P A C I D E N T I F I C A T I O NN U MB E R A N D T H E P A C C H E CK N U M B E R I N T H E D E S I G N A T E D C O L U M N A L I S T OF I D N U M B E R S I S A V A I L A B L E F R O M T H E I O W A E T H I C S A N D C A M P A I G ND I S C L O SU R E B O A R D
C A U T I O N S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o m m e r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o m m i t t e e s
SCHEDULE
A MONETARY( R e v . 0 7 / 0 3 ) RECEI PTS
CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRES S OF CONTR I BUTOR REL A T I ON SH I P AMOUNT J I F FORRECE I VED( MM/ DD / YR)
( i f a p p l i c a b l e )
AN D PAC CHECKT O CAND I DATE`
( i f a p p l i c a b l e )RECEI VED FUND-
RAI SERNUMBER I NCOME
t ~o 3 ~ o b CK# / ' 3 # A l t - : 14W5 t14(A 5 0 o 7 3
I D # J a h i k s 0 y )
0 & o o b CK#I ~ ~ f
l l a - ' ~ 3
~ ~
r w - C
l ~ j v f t d
( o l d t ) Z )
r t nnI D #
~~~Cupb
4 9 a / 0 3 / 0 6 CK# / ' ~ 7 1 b 5 k y r a f s w o ' D . Q i C ~ l u r t ' ~ t ~ p . d t 7O- 7 3 61 3
Fo r I n s t r u c t i on s , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEYTAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t e me n t o f O r g a n i z a t i o n )
R e s e t Fo r m
STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C A L ACT I ON C OMMI T T E E ) , L I S T T HE P AC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c omme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o m m i t t e e s .
SCHEDULE
A MONETARY
( Re v . 0 7 / 0 3 ) RECE I PTS
QCHECK T H I S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR RELAT I ONSH I P AMOUNT I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DDNR) A ND P AC CHECK ( i f a p p l i c a b l e ) R AI S ER
NUMBER I NCOME
I D# " ~ a f r t p 3 Sol d '
o ~ l l u ~ o t oCK#
~a ~ l 5 0 ' J 0
I D#?A04 &1 4 - ~
l vjob CK#
o t D
6s t ' a V t t o F
1 7 4 5 ' ~ Sl r t e .
I D#Ad S, CUO V l . S t N~ e
c ~ l ~ j c L CK# C 8 " 7 O } ~ t ? Y v i t i e 1 3 f Uo (j . O . t ? 0
Fo r I n s t r u c t i o ns , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEYTAKEN I N( i n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )
1V~~18y
f o r an y c o mme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
Rme t Fo r m
ISTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C AL ACTI ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e, p r o h i b i t s t h e u s e o f I n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o r
SCHEDULE
A MONETARY( R e v . 0 7 / 0 3 ) RECE I PTS
0CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR RELAT I ONSHI P AMOUNT J I F FORRECE I VED( MM/ DDNR)
( i f a p p l i c a b l e )AND PAC CHECK
TO CANDI DATE'( i f a p p l i c a b l e )
RECE I VED FUND-R AI S ER
NUMBER I NCOME
o ~ j l ' ~ / v 6
I D#
CK#
r n 4
3 5 a - 3 ~W 3 ' 1 ~ k S t ' $ v ~' [ k s 1 1 + 5 5 o 3 L ( ( + . . f 6 )
I D# 5 ) \ C u io a - I M 0 L CK# 6 ` 7 ~ l Gw
1 5 N e , v . ,I D# 5 ~ r ' k- - 4e r , ns - ~~ . -
o a l n b CK# Po - & , V t l ~
l ~
I Oa
I A )
5a . c i ~d > f s o G tI D#
~pl e ~ L. 5 ~t y l r " f
0 4 n f o b cK# "~ 1 3 3 L&r p~ ' e u Y 1N. r , ,
5 6 ~ i u y 1 " N ~ l U 4
I D# ~; 1~ Q 9 1 , 5 , e l l
o a ~ h o L CK # 75333 r , f t C e l ~ SD- va#, 4 3 / A m , 1 So o a - o
Fo r I n s t r u c t i on s , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEYTAKEN I N( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE PJ AME ( Mu s t b e s ame a s on S t a t e me n t o f O r g a n i z a t i o n )
f o r a n y c omme r c i a l p u r p o s e b y a ny p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
VSTATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S R E6 E I V E D FROM A S TA T E P AC ( P O L I T I C AL A C T I ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T H I C S AN D CAMPAI GNDI SCLOSURE BOARD .
CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o r
SCHEDULE
A MONETARY( R e v . 0 7 / 0 3 ) RECE I PTS
Q CHECK T H I S B OX I F
AMENDI NG FORM
DATERECE I VED
PAC I D NUMBER
( i f a p p l i c a b l e )NAME AND ADDRE S S OF CONTRI BUTOR RELAT I ONSHI P
TO CANDI DATE'AMOUNT
RECEI VEDJ I F FORFUND-
( MM/ DD/ YR) AND PAC CHECKNUMBER
( i f a p p l i c a b l e ) RAI S ERI NCOME
I D# _ b a u i e Q L G t ) ; e so q n / o b CK# C473 . / 0z~-
$ v z ) . v vb I f I V i l i b A S v B 6 4
I D# L i A d o , v o w e d -o a / r ? / 0 1 ~ CK#
' t a 7 0
2o b 3 i q 0 o lAYi ~ 6~h , ~ 1 7 4 S ' 0 1 1 5 J 0 v~
I D#" - - r 1 - _
018/o4,CK#
4 - 7
r s ~ - , A l e - l v a j , t J Z ~b o oI N r k _ L f
F o r I n s t r u c t i o n s , Se e B a c k o f Fo r m
CONTRI BUTI ONS - - MONEY TAKEN I N( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( M u s t b e s a m e a s o n S t a t e m e n t o f O r g a n i z a t i o n )
o
~ 1 1 2 4r ,
R e s e t F o r m
S T A T E C A N D I D A T E S N OT E I F A C ON T R I B U T I ON R E CE I V E D F R O M A S T AT E P A C ( P O L I T I C A L A C T I O N C OM MI T T E E ) , L I S T T H E P A C I D E N T I F I C A T I O NN U MB E R A N D T H E P A C C H E C K N U M B E R I N T H E D ES I G N A T ED C O L U M N A L I S T OF I D N U M B E R S I S A V A I L A B L E F R O M T H E I O WA E T H I C S A N D C A MP A I G ND I S C L OS U R E B O A R D
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o m m i t t e e s
SCHEDULE
A MONETARY( R e v . 0 7 / 0 3 ) RECEI PTS
CHECK T HI S BOX I FAMENDI NG FORM
DATERECEI VED( MM/ DD/ YR)
PAC I D NUMBER( i f a p p l i c a b l e )
AND PAC CHECKNUMBER
NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI PTO CANDI DATE'
( i f a p p l i c a b l e )
AMOUNTRECEI VED
J I F F ORFUND-RA I SERI NCOME
~ 1 3 / QL
I D #
CK#
P o t S ' b ~~ ~~ ' 1 l l~C Ou u r " - l ~s
~ Z I l ~$ a C A - - ,
oa~~1A6
I D #
CK#
4 0 3 5
- , fr pr 1d ~
l t o k r r r k f r Z Q r v o t " L r 1 l a d . 9 0
Fo r I n s t r u c t i o n s , Se e B a c k o f F o r m
CONTRI BUTI ONS - - MONEY TAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s on a l f u n d s )
COMMI TTEE NAME ( Mu s t b e same a s o n St a t eme n t o f O r g a n i z a t i o n )
R e s e t 1 ~ t y t t t
STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S 4EI VED FROM A STATE PAC ( P O L I T I C AL AC T I ON C OMMI T T E E ) , L I S T T HE P AC I D EN T I F I C A T I ONNUMBER AND THE PA C CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e, p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a ny c omme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY
( R e v 0 7 / 0 3 ) RECE I PTS
Q CHECK T HI S BOX I F
AMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR RELAT I ONSH I P AMOUNT I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR ) AND PAC CHECK ( i f a p p l i c a b l e ) RA I SE R
NUMBER I NCOME
D#
t
~
O
°L CK# ~U - t SN~ > I
~ $
1 A a34~
o 2 ~ 6 3 l 0 L CK# v , 5 v /LA%CA-4/ 4 0 y , 1 4 5 ~ u v3 1 615
Fo r I n s t r u c t i o ns , Se e Ba c k o f Fo r m
CONTRI BUTI ONS - - MONEYTAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )
< : nf br l ` P
W~Ty
O~AU
STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S R E CE I V E D FROM A S TA T E P AC ( P O L I T I C AL A C T I ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND TH E PA C CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e, p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p er s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY
( R e v 0 7 / 0 3 ) RECE I PTS
CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR RELAT I ONSHI P AMOUNT 4 I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE " RECE I VED FUND-( MM/ DDI YR ) AND PAC CHECK ( i f a p p l i c a b l e ) R AI S ER
NUMBER I NCOME
CK# 0. 9
CK#
$GS
b9 l y l 8 ~L h _1 7 +
1 7 1 ' O
. ~ ~ ~ a ~ ' 4 c 3 D
1r 1 sI D#I " ' y I S ~ A / ( w" `
jd~ f i b CK# 1 1 D / 1 CGa A 1 ' 1 d ' v° ~ a " t TZ ~
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME( Mu s t b e s ame a s o n S t a t eme n t o f Or g a n i z a t i o n)
SQ~ary d~ 7q
STATECANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROM AS7ATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I S T THEPACI DENT I F ICAT IONNUMBERAND THEPACCHECK NUMBER I N THEDESI GNATED COL UMN . A L I S T OF I D NUMBERS I S A VA I L A B L E FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.
CAUTI ON : Se ct i o n 68B. 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o pi e d f r o m r e p o r t s and s t a t e me nt s f o r s o l i c i t i n g c o n t r i b u t i o n s o r
f o r an y c omme r c i a l p ur p o s e by an y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c ommi t t e e s .
SCHEDULE
A MONETARY
( Re v . 0 7 / 0 3 ) RECEI P TS
0CHECK THI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTRI BUTOR RE L A T I ONSHI P AMOUNT J I F FORRECEI VED ( i f a p p l i c a b l e ) TOCANDI DATE" RECEI VED FUND-( MM/ DD/ YR) AND PACCHECK ( i f a p p l i c a b l e ) RAI SER
NUMBER I NCOME
I D#L~20 I ~ ~ t ' . 6 1 r d l
o * 0 y e b CK# 3 ~ 1 1 I r y e ` 4 Y\ $/ t J a . 0 Z )1 1 5 1 r
Fo r I n s t r u c t i o n s , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEY TAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )
c ~' ~Yt ~
~~
- ~
' Gw
o f Ak
STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECE I V E D FROM A STATE PAC ( P O L I T I C AL ACTI ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .
CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c omme r c i a l p u r p o s e b y a ny p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY
( R e v 0 7 / 0 3 ) RECE I PTS
QCHECK T HI S B OX I FAMENDI NG FORM
DATERECE I VED
PAC I D NUMBER( i f a p p l i c a b l e )
NAME AND ADDRESS OF CONTR I BUTOR REL AT I ONSH I PTO CANDI DATE`
AMOUNT
RECE I VEDJ I F FOR
FUND-( MM/ DD/ YR ) AND PAC CHECKNUMBER
( i f a p p l i c a b l e ) R AI S ERI NCOME
I D#1 ~ F 5h t A 1 4 - Z ,
6 3 1 o 3/ ! Ob CK # ! 2 d ~ t L1 1 1o f f -
/ v ( 9 e pI F - 4 ~t ' Z~4~
I D#_ 1~ v0, L p c t , , ~ J s ^ - ,
0 3 1 0 3f 0L CK# 1 6 _' 3 / 0 1 4 4 h . -
&D04 -V771 7 5 5 - h p - s 1 1 1 6 t r o S 1 Da l l 5 ~ '
0 0 3! 1 6 1 CK# 3 5 v ~ l s t tC ~ e
r I P o Q ~~~3~ AM. e 0s v
C)3 l o q ~OL
I D#
CK#
F : 1 0 1 y " - 6 -y o .. 5 : 5 / 9 0 a 5 ' .
a 1 ° 1 W) n -h t s v ~ ! SOo1 3
. ~°` 7aY~
Db
I D#
CK#
~ ~ o t n y ° z me S
1 , 6 0
y t ' "
Oa l y t j ~~Aw_ , OZ )a~ ~ ~d c , ( , q 5 ' a a -I D#
Fo r I n s t r u c t i o n s , Se e Ba c k o f F o r m
CONTRI BUTI ONS - - MONEY TAKEN I N
( i n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TT EE NAME ( Mu s t b e s ame a s o n S t a t e m e n t o f O r g a n i z a t i o n )
Ot ~ 5Y~ t / y \ ~~~ sec
R e s e t Fo r m
STATECANDI DATES NOTE : I F A C ON T R I B U T I O N I S R E CE I V E D FROM A S T A T E P A C ( P O L I T I C A L A C T I O N C OMMI T T E E ) , L I S T T HE P A C I D EN T I F I C AT I O NNUMBER AND T H E P AC CHECK NUMBER I N T H E D E S I G N A T E D COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I O WA E T H I C S AND C A MP A I G ND I S C L O S UR E BOARD .CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY
( R e v . 0 7 / 0 3 ) RECEI PTS
CHECK T HI S BOX I FAMEND I NG FORM
DATE PA C I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT ~ l I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE" RECEI VED FUND -( MM/ DD / YR) A ND P AC CHECK ( i f a p p l i c a b l e ) RA I SER
NUMBER I NCOME
I D# 5 h A n n o n L M A Y - - r ) : 5
~ c ~ $ 0OVo g l o 4 ' CK# s as ' -14 s i - N - 0 > > 4I a n s ' , ! W) W)
I D# ' b e" a4~ Mo r rO' , 5 ~ o 9 1 d b CK# 1 ' 7 Th d y r &K _ Cr
l e l f o r - " 1 9 lI D#- F- " i ' 1 w~ , ~ 6 eC~~- t r Q~ ' 1 3 C~ . .
0 o7/ 1 0 CK#
3 3 4 1 ' b t r vI D# I / i
O~I l CK#' 4 b
l o l l ~ ' ~ NYArV
F l A r sS, ~I D# r ? I t I wn
03l 0 ~ab
c K# l f hC r "
? l o d. o ~
:Oz-7i-, 6e ) 3I D
~. 5: " h I Ct Yb aUt ~ ' 1 1 , ~
h6 04 d L CK# 19715 ~o d _44 1 ~ I ~ ( r wa ~ ' j 3-06
Fo r I n s t r u c t i o ns , Se e Back o f F or m
CONTRI BUTI ONS - - MONEY TAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame as o n S t a t eme n t o f O r g a n i z a t i o n )
OtbLe2/~4ar
STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RE CE I V D FROM A STATE PAC ( P O L I T I C AL A C T I ON C OMMI T T E E ) , L I S T T HE P AC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c o mme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o m m i t t e e s .
SCHEDULE
A MONETARY
( R e v . 0 7 / 0 3 ) RECE I PTS
0 CHECK T HI S B OX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR RELAT I ONSHI P AMOUNT J I F F ORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECEI VED FUND-( MM/ DD/ YR ) AND P AC CHECK ( i f a p p l i c a b l e ) R AI S ER
NUMBER I NCOME
I D# F Y ) n 5 ) r l l x Pam° ' ~ l l v b
CK# 7 l r 5 t ' ~ ~ e l u l l r $o . t R ~f 1 W S '
Fo r I n s t r u c t i o n s , Se e Ba c k o f F o r m
CONTRI BUTI ONS - - MONEY TAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e m e n t o f O r g a n i z a t i o n )
t C' Tnwm. - F&,rS4~P'
STATE CANDI DATES NOTE : I F A C ON T R I B U T I O N I S R E CE I V E D FROMA s T C T E P A C ( P O L I T I C A L A CT I O N C OMMI T T E E ) , L I S T T H E P AC I D E NT I F I C AT I O NNUMBER AND T H E P A C CHECK NUMBER I N T H E D E S I G NA T E D COL UMN A L I S T O F I D NUMBERS I S A V A I L A B L E FROMT HE I O WA E T H I C S A ND C A M P A I G ND I S C L O SU R E BOARD .
CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s
SCHEDUL E
A MONETARY( R e v 0 7 / 0 3 ) RECEI PTS
QCHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER N AME A ND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT 4 I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND -( MM/ DD / YR) AND PAC CHECK ( i f a p p l i c a b l e ) RA I SER
NUMBER I NCOME
I D# o$ - ~A r ~ y Q eC l r t
o u o L CK# 3 , 0 1 G=C%~y t o t
t ~ ' h o e n ~Z S- So a .$
3 1.
I D #J ~ L I Y t Yf e. 1 ~ ' f 0 ` r t ~
CK# 3 5
~ 1 1 ~ ,
o , ~
m1 Y e - Od ` 1 O
I D# MAl 4Y14e. N C v r r l i ~ - v t ~O CK# G t , U I y l L l v . o ~
o~ n . SwZ3'
0 ~ 1 9 1 o b
I D#
CK#
Dy k
1L 1 ~, ~ 191 l ~O
1 ~ , 1 1 4 NV A J \ 1 _ 02 00
d ~Hl t l - 0- : 1 4 - F( a y n.r4AN
CK#1 _ 7 2 ~ a / a s
I D #~ Qr ~ t~ a YI S
d. ~ i g l d b c K# yd ~ 4 l b~n7 S - ~ 51~ . 15 ~~
Fo r I n s t r u c t i on s , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEYTAKEN I N
( i n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t e me n t o f O r g a n i z a t i o n )
Q' &Ye , , \ --0"*
R R e s e t F or m
C EI V ED FROM
T AT E P AC ( P O L I T I C A L A C T I ON C OMMI T T E E ) , L I S T T HE P AC I D EN T I F I C A T I ONS TA TE CAND I DATES NOTE : I F A C ON T RI B UT I ON I S R
NUMBER AND THE PA C CHECK NUMBER I N THE DESI GNATED COLUMN, A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD
C AUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY( R e v . 0 7 / 0 3 ) RECE I PTS
CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME A ND A DDRE S S OF CONTR I BUTOR RE LA T I ONSH I P AMOUNT J I F FORRECEI VED( MM/ DD / YR)
Fo r I n s t r u c t i o n s , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEYTAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEV NAME ( Mu s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )
R e s e t Fo r m
STA TE CANDI DA TE S NOTE : I F A CONTRI BUTI ON I S RECE I V E D FROM A STATE PAC ( P O L I T I C A L ACTI ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S A V AI L A B L E FROM T HE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .
CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e, p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY
( R e v . 0 7 / 0 3 ) RECEI PTS
QCHECK T HI S B OX I FAMENDI NG FORM
DATERECE I VED
PAC I D NUMBER( i f
NAMEAND ADDRESS OF CONTR I BUTOR RELAT I ONSH I PTO CANDI DATE"
AMOUNTRECE I VED
4 I F FOR
( MM/ DD/ YR )a p p l i c a b l e )
AND PAC CHECK ( i f a p p l i c a b l e )FUND-R AI S ER
F o r I n s t r u c t i o n s , Se e Ba c k o f F o r m
CONTRI BUTI ONS - - MONEY TAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me nt o f Or g a ni z a t i o n)
STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C AL ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI F I CATI ONNUMBER ANDTHE PACCHECK NUMBER I N THE DES I GNATED COLUMN A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .
CAUTI ON : Se c t i o n 6 8B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a nd s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c o mme r c i a l p u r p o s e by a ny p e r s o n o t h e r t ha n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY
( Re v 0 7 / 0 3 ) RECEI PTS
Q CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME ANDADDRESSOF CONTRI BUTOR RELAT I ONSH I P AMOUNT 4 I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE" RECEI VED FUND-( MM/ DD/ YR) AND PACCHECK ( i f a p p l i c a b l e ) RAI SER
Fo r I n s t r u c t i on s , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEY TAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame as on S t a t eme n t o f O r g a n i z a t i o n )
` R e s e t , F o r t n
C7 t L~
~o r~A~
o , Ak
STATE CAND I DATES NOTE : I F A CONTR I BUT I ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L AC T I O N C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD
CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e, p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c omme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s
SCHEDULE
A MONETARY
( R e v 0 7 / 0 3 ) RECE I PTS
QCHECK
T HI S B OXI F
AMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR REL AT I ONSH I P AMOUNT J I F FORRECE I VED( MM/ DD/ YR)
( i f a p p l i c a b l e )
AND PAC CHECKTO CANDI DATE"
( i f a p p l i c a b l e )
RECE I VED FUND-R AI S ER
NUMBER I NCOME
I D# - 6 - a L j Sc . h l a - c 4 {
o 1 ' ~ j O a CK# z b . W1 b 4 - ) , , ~
f l a n l L 1 A 5 0 4 0 a -6 ~
I D#
~ q; ePh
f t
~ rs ~ _0CK#
4
to
r 4 f ~ a l n 4 + c . .t $OOda
I D#~. p t ~ ( ~ ~ l f f e l l n . ~
c i ~ I A + f a b CK # 3 l S P , p l o ~0 ~ ,7c 1 D f t
3 t t s a ( / , 4 i 5 o o :I D#
_
y l 1 w b / ~ ' v GC 1 CK#
1 3 ' 7 , y f ~ e6 c - - 4 5 u 0 t aI D# 1 4 A r Wr / V p p l r v n z [ j ' Rel , , 8 1 r
Fo r I n s t r u c t i o n s , Se e Ba c k o f F o r m
CONTRI BUTI ONS - - MONEY TAKEN I N( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TT EE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )
Re s t F o r m
STATE CAND I DATES NOTE : I F A CONTRI B U T I ON I S RECEI VED FROM A STATE PAC ( P O L I T I C A L ACTI ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .
CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e, p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c omme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mm i t t e e s .
SCHEDULE
A MONETARY( R e v . 0 7 / 0 3 ) RECEI PTS
QCHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT J I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECE I VED FUND-( MM/ DD/ YR) AND P AC CHECK ( i f a p p l i c a b l e ) RA I SER
F o r I n s t r u c t i o n s , Se e Ba c k o f F o r m
CONTRI BUTI ONS - - MONEY TAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
I COMMI TTEE NAME ( Mu s t b e s am e a s o n S t a t e me n t o f O r g a n i z a t i o n )
&Eyi e4%
r ' a vY °t <Ak
STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C A L ACTI ON C O MMI T T E E ) , L I S T THEPAC I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S A V AI L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .
CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a Code , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o m m i t t e e s
SCHEDULE
A MONETARY( R e v . 0 7 / 0 3 ) RECEI PTS
CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI V ED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER
NUMBER I NCOME
I D# l Yt AV
b ~ 1 1 1 ~ I Ob CK# L t l ' ~ k ~ ~ St A CGa h , ~ $
t v3
I D# T~Q. r d - G h r l~ to ~ f 1 r ~ f o b CK#
Z ~ ~ 7 ~ e~ s AMI ( c a c 3 t ~
.
s63a
: 5I D# Pa l l , AI L No t - F i 4 a l r a : S e r
O s I / I ~ ~OL CK# S t t f f w v t v , L V t
~~l u , r d l ( A
i vyC C 0 z )
I D#Pat ' r o r G t i c f ' S d t ' ~ t 1 ~e ( Y+~ ) Y f
Fo r I n s t r u c t i o n s , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEYTAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t eme n t o f O r g a n i z a t i o n )
QI V v ~~ Pr + l ~ , ~U~~~G
UCv
STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECE I V E D FROM A S T AT E P AC ( P OL I T I C A L AC T I O N C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a Code , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c omme r c i a l p u r p o s e b y a ny p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mm i t t e e s .
SCHEDULE
A MONETARY( R e v 0 7 / 0 3 ) RECE I PTS
CHECK T HI S BOX I F
AMENDI NG FORM
DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTR I BUTOR RELA T I ONSH I P AMOUNT 4 I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECEI VED FUND-( MMI DDI YR ) AND PAC CHECK ( i f a p p l i c a b l e ) R AI S ER
NUMBER I NCOME
a f 1 N ~ o ~
I D#-
VVt a r~ ' ' 9 b a ~
n~
r v l sGh~ ~ a Y ( c a ~~
$ ; . ? d z )CK#
Af - l ~ t ~ l r ' sI D# / YL a&G4Wkvj *
o f 8 a l o t , CK# 1 - 6 1 e v af s AL n
1 " 1 t . 2 ( AI D# r ~ t n
0131lab CK # ° 1 7 5 9 A Te a Sd .
3 5 ^ 9 o . a SI D# $ u s g n I l
v i i a 1 a b CK# 3 1 1 F a , h ~ 5~
I D# ShU. ~ ' ~ -~1 NW~ ~
a l a i f o6
CK#
/ Od O t ~
oL g b o ' ; A 5 ' 1 3 5 5. _ ,I D# b oa L 0 c t w s a t i ,
Fo r I n s t r u c t i on s , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEYTAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t e me n t o f O r g a n i z a t i o n )
0I Po ( l p y l - TWSTATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECE I V E D FROM A STATE PAC ( P OL I T I C A L ACT I ON COMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a Code , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c omme r c i a l p u r p o s e b y a ny p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o m m i t t e e s .
SCHEDULE
A MONETARY
( R e v 0 7 / 0 3 ) RECE I PTS
CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTR I BUTOR REL AT I ONSH I P AMOUNT J I F FORRECE I VED( MM/ DD/ YR )
( i f a p p l i c a b l e )AND PAC CHECK
TO CANDI DATE`( i f a p p l i c a b l e )
RECE I VED FUND-R AI S ER
NUMBER I NCOME
I D#
4 1 V / , 3 - 3 1 0 1 1 CK# i ! o ~ f l F s ~ h ~"I ~
$a5. c I V
Irla ~ o . ~ r o 5 d3I ~
I D# S t AL ( t e G Qi s_
a ~ f a ~ / 0 bCK#
o f f ` !
` f ' t I t y , . 04 - ~ a - < -
( A S b v
I t
D~
I D#
CK#
~ ( Qn I S t ? e
4 - _ 5 t 5 D - 6 2 )d- S u SaOaS
I D# / 1 1 r , , r i ~ * s c h 1 4 ? So y / a ~ o ~ CK# s 3 s g ad - S O
3 l &. 1 l ( a r 7 S~I D# e b e 4 & , WdV v 5
CK # - ~ VP / So~ kt l r 4 S / 6 3 ~ 1I D # _64~
- Sa k r i nT o n 4 J AJ I ~
~ r L ~ ~ ~1 J l -o~ a 3 l o b CK# 443 ~ c ~ 0 . Da
Fo r I n s t r u c t i o ns , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEY TAKEN I N( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE" NAME ( Mu s t b e s ame a s o n S t a t eme n t o f O r g a n i z a t i o n )
OI bY1~e , ^ - -~~~Rese t Fo r m
STATE CANDI DATES NOTE : I F A CONTR I BUT I ON I ~ RECE I V ED FROM A STATE PAC ( P O L I T I C A L ACT I ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e, p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c o mme r c i a l p u r p o s e b y a ny p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o m m i t t e e s
SCHEDULE
A MONETARY( Re v 0 7 / 0 3 ) RECEI PTS
CHECK T HI S B OX I FAMENDI NG FORM
DATERECE I VED PAC I D NUMBER( i f a p p l i c a b l e )NAMEAND ADDRESS OF CONTR I BUTOR REL AT I ONSH I P
TO CANDI DATE`AMOUNTRECEI VED
4 I F FORFUND-
( MM/ DD / YR ) AND PAC CHECKNUMBER
( i f a p p l i c a b l e ) R AI S ERI NCOME
I D# / Y / . I C ' v S a f h G r i v c , l a T
/ f w I f t e s l 7 s 0V
o i ~ l a s s / o b
I D#e r
7" 1
aCK # ~ ~ ~ v o . 0 0
I D #
0 q 1 - ; y 0 4 1 CK# ~~r~- f T
a f ~A, / j &oa
Gtr16T
I D#L Ai t r o " ,
~0YO1D( 0 CK# 3 3 1 G0. 51~ -P o ~ ~ . UvFd t hl ~ Pd~~- ~L ( ~ v 3 ~
Fo r I n s t r u c t i on s , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEY TAKEN I N
( i n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame as o n S t a t e me n t o f O r g a n i z a t i o n )
O1 8Yt woL J T
STATE CANDI DATES NOTE : I F A C ON TRI B UT I ON I S RECEI VED FROM A S T A T E PA C ( P O L I T I C A L AC T I ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S A V AI L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD.
CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e, p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c omme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY( R e v . 0 7 / 0 3 ) RECE I PTS
Q CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT J I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE" RECE I VED FUND-( MM/ DD / YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER
NUMBER I NCOME
I D#
aK -r SO l n ¢ ~Y
$ -0! ; / 0D/ 04 c K# 7 S d u - N 1 ( ~ 9 - F h CY
~ ) L . r
~ 9 e t 0 , , , a . ~ 6 , S i 3 vI D# K V ' I ; 4 e Y I P
p -5f o o b CK# ! 1 1 - ~ I D 1 4PI 4 e l 06I D# n _ C
Fo r I n s t r u c t i o n s , Se e Ba c k o f F o r m
CONTRI BUTI ONS - - MONEYTAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t eme n t o f O r g a n i z a t i o n )
I { e b e t F or m
STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED F R
A S TAT E PAC ( P O L I T I C A L ACTI ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I O N
NUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c omme r c i a l p ur p o s e b y a ny p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mm i t t e e s .
SCHEDULE
A MONETARY
( R e v . 0 7 / 0 3 ) RECEI PTS
CHECKT HI S BOX
I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT J I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECE I VED FUND-( MM/ DD/ YR ) AND P AC CHECK ( i f a p p l i c a b l e ) RA I SER
NUMBER I NCOME
I D #Q6~y I G 3
-CK # ~ 1c . I
U
I lA S
n~ v Z c K#
f f f 5 ~
a_ DPs / * I Y4 3 S o 3 1 ~
l o #
n ~ "o ~ 1 6~ o b CK# z . 6 o a 5 I b
SO .
I D # ? e A , S e V u s ~ ~
Al ( P6 l o L CK # / ~ f S d 5 1 f 1 ( r t » t PP j e f o e l r
O" d MAI 5 5 ~~1 b
I D # R, r a 4 ~ ) A. & / Y *kh&n f c . , l C r ' f ~ C r
Fo r I n s t r u c t i on s , Se e Ba c k o f Fo r m
CONTRI BUTI ONS - - MONEYTAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame as on S t a t eme n t o f O r g a n i z a t i o n )
C7 1 f ) Y 1 1 e Y ` - ~~52CW, ~a v
STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A S T AT E P AC ( P O L I T I C AL A C T I ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c omme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY
( R e v 0 7 / 0 3 ) RECE I PTS
CHECK T HI S B OX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME ANDADDRESS OF CONTR I BUTOR REL AT I ONSH I P AMOUNT J I F FORRECE I VED( MM/ DD/ YR )
( i f a p p l i c a b l e )AND PAC CHECK
TO CANDI DATE`( i f a p p l i c a b l e )
RECE I VED FUND-R AI S ER
NUMBER I NCOMEI D# t 7 o r t y ~I G~ Y~ L a
0 / a ~ j v b CK#Ai , , - _ L
o r s/ u °u J t 1 s " v d o
.
I D# L e o 7 Du A1 ' 1
O~/ . V O l o ~ o CK#
1 D#
0l. -410bCK# 41 6 + S , 00
1 > ~ wood
C. C a y ka y/~o Z CK#
l - ~;AA . Q ~ S +
S - ~Da 1 - od
o y a 9 o b
1 D#
CK#1 ts ~
" ~ " 0 Ca n y o n / e . 0a, ~ . o aL c , s 6 Y_ Rep AI M $9011
Fo r I n s t r u c t i o n s , Se e Ba c k o f F o r m
CONTRI BUTI ONS - - MONEYTAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( M u s t b e s ame a s o n S t a t e m e n t o f O r g a n i z a t i o n )
0' 6y l ~e n . ! ' r w 5~0~~ 0 - ( " Aa
STATE CANDI DATES NOTE : I F A C ON T R I B U T I O N I S R E CE I V E D FROMA S T A T E PAC ( P O L I T I C A L A CT I O N C OMMI T T E E ) , L I S T T H E PAC I D EN T I F I C AT I O NNUMBER AND TH E P A C CHECK NUMBER I N T HE D E S I G N AT E D COL UMN . A L I S T O F I D NUMBERS I S A VA I L A B L E FROM T H E I O WA E T H I C S AND C A MP A I G ND I S C L O S U RE BOARD .
CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY( R e v 0 7 / 0 3 ) RECEI PTS
CHECK T HI S BOX I F
AMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR REL AT I ONSH I P AMOUNT 4 I F FORRECEI VED
( MMI DD / YR)( i f a p p l i c a b l e )
A N D P AC CHECKTO CANDI DATE'
( i f a p p l i c a b l e )RECEI VED FUND-
RA I SERNUMBER I NCOME
O ' l l d q j 0 ~ CK# a0a0 1 ' ~k a A - a 5 A ) - 0 0
STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C AL AC T I ON C O MMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a Code , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c omme r c i a l p u r p o s e b y a ny p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mm i t t e e s .
SCHEDULE
A MONETARY( R e v . 0 7 / 0 3 ) RECE I PTS
CHECK T HI S BOX I F
AMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I PAMOUNT q I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECE I VED FUND-
( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SE RNUMBER I NCOME
oy l x l °c
I D #f 76a
h JOS2P
Nameh
5 4 " $c K#Ghe4nh r f ~r 4;nyi1 1 od46 - 7
/ 00(90"
I D # L . o h t KEr n, . ~
d ~ f l a 91 o1 6 CK# Rr ° 1 b30 " d b
r i r G n~/ Y1 J V S~q~
I D # ~ ; ! I ~2r t t i ~.
CK# i 3 v l l a l t h Abe
- - f - t o ) , v - , - A Sb54 j
I N - " , P o , ( ~-_h y r , , , r l
6 Y~ a ` 1 ~ o CK# a l s i v yd, ~ >l ? >G , 00 o a ,
F o r I n s t r u c t i o n s , Se e B a c k o f F o r m
CONTRI BUTI ONS - - MONEY TAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( M u s t b e s a e a s o n S t a t e m e n t o f O r g a n i z a t i o n )
R e s e t F n r m
S T A T E C AN D I D AT E S N O T E I F A CON T R I B U T I ON I S R E CE I V E D F R O M A S T AT E P A C ( P O L I T I C A L A C T I ON C OM MI T T E E ) , L I S T T H E P A C I D E N T I F I C A T I O NN U M B E R A N D T H E P A C C H E C K N U M B E R I N T H E D ES I G N A T ED C O L U M N A L I S T OF I D N U M B E R S I S A V A I L A B L E F R O M T H E I OW A E T H I C S A N D C AM P A I G ND I S C L OS U R E B O A R D
CAUTI ON S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mm i t t e e s
SCHEDULE
A MONETARY( R e v . 0 7 / 0 3 ) RECEI PTS
CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR REL ATI ONSHI P AMOUNT I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER
NUMBER I NCOME
I D# De n y t c R u s c ~o g l d , f o L CK # as l
6 a t r ~64 , 1 7 4 1 ( p
A h " , ) Gl ua
OW
~c 1 A s s b
a 9 t 1 4
I D# ~A- r e - 5h4 n _ Z
o o 4 5 t ! ) n " l n 5t ; CK#
k ~LGr e4" 1 1 1 SoYo l
I D# / ) 1 a
/ a~~5a1 1 G
Nw4 0 1 r t e s
0o y f a g j ~ c K# I g 6 AA0 c v ~H
6 e - l A 6 6 / SbI D#
Gy AA t a
01 0 " J d ° CK#Fat r ~~
a t c J V d Or1 A SdSSb
I D#Am _r YUI e L
0OY* / O? O CK # / i t 4 / , ~ - ~~ 0 SU . d d, c n w f t 1 1 L r r o : 5 7 5 3I D#
( I n c l u d i n g c a nd i d a t e ' s p er s o n a l f u n d s )
COMMITTEENAME( Mus t be s ame as on St at ement o f Or g an i z a t i o n )
SCHEDULEA
I MONETARY
( Re v . 0 7 / 0 3 )
RECEI PTS
CHECK THI S BOX I FAMENDI NGFORM
STATE CANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I CA L ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I C AT I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD
CAUTION: Se c t i o n 68B . 3 2A( 6 ) , I o wa Code, p r o h i b i t s t h e us e o f i n f o r ma t i o n c o p i e d f r om r e p o r t s and s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o ns orf o r any commer ci al p ur p os e by an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l commi t t ees .
DATERECEI VED PAC I D NUMBER( i f a p p l i c a b l e ) NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P
TO CANDI DATE'AMOUNTRECEI VED
I F FORFUND-( MM1DD/ YR) ANDPAC CHECK
NUMBER( i f a p p l i c a b l e ) RAI SER
I NCOMEI D#
4 -4 6 1 6 CK#
RPM. L a w CI ~~ s a aI D# Ca r e ) 5 p a z t a n l
O ' f l a g l o b CK# c , Y & 4 v w - j A r c
Z , e wA_ Ct ( 7 4 saaWS90, 00
OV l aq' & CK# 4 6 6 x Tur~Crk 0 t i G a j , t ) I 7HPi c ^6 r A a + o
I D#AA 1 A ) o ~ ` f
o 1 4 1 a R 11 o 4 CK#3S / Y t a o an A~e
3o . 00
I D#
o Y ~ a g f v ~ CK#
l t v ~S~
A p e -S~ - q D a ~ l ~ - D OI i s c - 1 o - w ~ ~ 1 A
Fo r I n s t r u c t i o n s , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEYTAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t eme n t o f O r g a n i z a t i o n )
d6Yl e Vl 4 ; C ~ ~ ?L ` r e ~1,
, , a >C
STATE CANDI DA TE S NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A S T AT E P AC ( P OL I T I C A L ACTI ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C AT I ONNUMBER AND T HE PAC CHECK NUMBER I N THE DESI GNATED COL UMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .
CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDUL E
A MONETARY
( R e v . 0 7 / 0 3 ) RECEI PTS
CHECK T HI S B OX I FAMENDI NG FORM
DATERECE I VED
PAC I D NUMBER( i f a p p l i c a b l e ) NAME AND ADDRESS OF CONTR I BUTOR RELAT I ONSH I PTO CANDI DATE'
AMOUNTRECE I VED
J I F F ORFUND-
( MM/ DD/ YR ) AND PAC CHECKNUMBER
( i f a p p l i c a b l e ) R AI S ERI NCOME
I D#l C l 4 e - Oy e r j _ OQr e , Qb
0 g l a 4f v , (oCK# - 7 ~ o v A)
t ~ ~ - t - Y ~ ( a r ~ . e h ~ ~ o l a y l v v ai D#
Fo r I n s t r u c t i o n s , Se e B a c k o f F or m
CONTRI BUTI ONS - - MONEY TAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( M u s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )
df 6ykePJ~~sewj a o~_A1
VS TA TE CANDI DATES NOTE : I F A C ON T R I B U T I O N I S R E CE I V E D FROMA S T A T E PAC ( P O L I T I C A L A CT I O N C O MMI T T E E ) , L I S T TH E P A C I D EN T I F I C AT I O NNUMBER A ND T HE P AC CHECK NUMBER I N T HE D E S I G N AT E D COL UMN A L I S T O F I D NUMBERS I S A V AI L A B L E FROMTHE I O WA E T H I C S AND C A MP A I G ND I S C L O S UR E BOARD .
CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDUL E
A MONETARY
( R e v . 0 7 / 0 3 ) RECEI PTS
CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER N AME A ND A D D RESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT 4 I F FORRECEI VED( MM/ DD / YR)
( i f a p p l i c a b l e )AND PAC CHECK
TO CANDI DATE'( i f a p p l i c a b l e )
RECEI VED FUND-RA I SER
NUMBER I NCOME
OSI ~ a A I D L
I D # ~V~ . I d ~ l K. ) wI I~f
r A r t rCK# ~ O , t A t
VJWL P I SJ s .b ~ l 1 0 . t
-I D # , , UA , ~ C o o / 6 V la ~l a o a CK# too ~ -
f
f ~ , X144f
s as ; 5 ~~
1 t 9 . M)0
o~~a . 9 f 0 1
I D#
CK#
n t 4 - c r YVA l t 9
1 d4_ ~Kn
1 %i t 1 1 AddL y I~~O
h ' 6 4 , 6 W t ~ U 4 av
b ~ fa
I D# ~ c . s ~ v ~ l~4 r e - C0CK# / Z ? . v v
I D # Q~ X f 5 ~ ~l
> 1
o ~ l a 9 ~o a CK#
' i r e
I D o Z )l sot rI D # SRYD` + ' 5' 5~y 47 , 1 - / 4Wk A ns
Fo r I n s t r u c t i on s , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEYTAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t e me l 7 t o f O r g a n i z a t i o n )
O'
P
Y ' I
STATE CANDI DATES NOTE : I F A C ON T RI B
I ON I S RECE I V E D FROM A S TA T E P AC ( P OL I T I C AL AC T I ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I ON
NUMBER AND T HE P AC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD
CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a Code , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY
( R e v . 0 7 / 0 3 ) RECEI PTS
CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTR I BUTOR RELAT I ONSH I P AMOUNT q I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE" RECEI VED FUND-( MM/ DDI YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI S ER
NUMBER I NCOME
I D# &1 *40, ~OI v+~S , / nOf y k ~r o- $
b q 1 k q 1 0 4 CK #. 1 - 3 10 . ) - Y` a . X 6 4+ 0 ^ - JU
.
I D#h t > t i 1 . ~ 4 5 df L e n
OY/ a g l o a CK#
K
q a ~ r: D- vJ7
I D# k _ ~ C 4 h ~d T h . d - w ~ ~( o Y
° y A y l oCK# 9
GI D#
CK #
~ ( / 4_r~~
I - e l 3 ~ t ~ a u r t L v ~ f ~ Uo aI I , ~ Ye A G0 3_
Fo r I n s t r u c t i on s , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEY TAKEN I N
( i n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t e me n t o f O r g a n i z a t i o n )
STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECE I V E D FROM A STATE PAC ( P O L I T I C A L ACTI ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e, p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a ny p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY( R e v . 0 7 / 0 3 ) RECE I PTS
CHECK T HI S B OX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR REL AT I ONSH I P AMOUNT 4 I F FORRECE I VED( MM/ DD / YR )
( i f a p p l i c a b l e )AND PAC CHECK
TO CANDI DATE'( i f a p p l i c a b l e )
RECEI VED FUND-R AI S ER
NUMBER I NCOME
I D# / 7 ( G ~ O t t e ro ~ f o s w b CK # ' f ' f ~ r ~ -aht r i s ~ A
a r c - c lJ
l o b
I D# k o r ) e
6 f i w n - sy h
bo s 1 o CK#
$L
a - S s
~ r 9 SGb 1 4I D# Rt ~ + h ~ - Z _ d v e
oS~o3~o b CK# S11 Ak
N~3c uAd ( A / y f S~ -
a s w 3 l a t CK# &n ~ S 5 ~ d 5 " Od
0
g
I D# ~ , ~ y ~1 ~ ( c c ~ s i ; , a m o r t s~ ~D3 I b b
Fo r I n s t r u c t i o ns , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEYTAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )
STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A S T AT E P AC ( P OL I T I C A L A C T I O N C OMMI T T E E ) , L I S T THE P AC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .
CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY
( R e v 0 7 / 0 3 ) RECE I PTS
Q CHECK T H I S B OX I FAMENDI NG FORM
DATERECE I VED PAC I D NUMBER( i f a p p l i c a b l e )
NAMEAND ADDRESS OF CONTR I BUTOR RELAT I ONSH I PTO CANDI DATE'
F o r I n s t r u c t i o n s , Se e B a c k o f F o r m
CONTRI BUTI ONS - - MONEY TAKEN I N( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME( Mu s t b e s ame a o n S t a t e me n t o f Or g a ni z a t i o n)
STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I S T THE PACI DENT I F I CATI ONNUMBER AND THE PACCHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .
CAUTI ON: Se c t i o n 68B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s an d s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e by an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY
( Re v . 0 7 / 0 3 ) RECEI PTS
CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORRECEI VED
( MM/ DD/ YR)( i f a p p l i c a b l e )
AND PACCHECKTO CANDI DATE'
( i f a p p l i c a b l e )RECEI VED FUND-
RAI SERNUMBER I NCOME
I D #
o Sl o bl a t CK#
. ,3 " W1 13 6 ( ~ G ) 5
!, - . J t >
I D # : 5 1 4 e - CVt 7 Y9 I t c -
0 5 1 0 6 Da CK# ) / i USc ' v ~ ) " Q - 4 0-a; : 5 ' 40
Fo r I n s t r u c t i o n s , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEYTAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t eme n t o f O r g a n i z a t i o n )
STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S R E CE I V E D FROM A STATE PAC ( P O L I T I C A L ACTI ON C O MMI T T E E ) , L I S T T HE PA C I D EN T I F I C A T I ONNUMBER AND T HE P AC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .
CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c o mme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULE
A MONETARY( R e v . 0 7 / 0 3 ) RECE I PTS
CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTR I BUTOR RELA T I ONSH I P AMOUNT 4 I F FORRECE I VED( MM/ DD/ YR )
Fo r I n s t r u c t i o n s , Se e Ba c k o f F o r m
CONTRI BUTI ONS - - MONEYTAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s a me a s o n St a t eme n t o f O r g a n i z a t i o n )
Re s a F o r m
STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A S TAT E PAC ( P O L I T I C A L AC T I ON C O MMI T T E E ) , L I S T T HE PAC I D EN T I F I C AT I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c omme r c i a l p u r p o s e b y a ny p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mm i t t e e s .
SCHEDULE
A MONETARY( R e v . 0 7 / 0 3 ) RECEI PTS
CHECK T HI S BOX I F
AMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DDNR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER
Fo r I n s t r u c t i on s , Se e Back o f Fo r m
CONTRI BUTI ONS - - MONEYTAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
I COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t e me n t o f O r g a n i z a t i o n )
STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S
E CE I V E D FROM A S T AT E PAC ( P OL I T I C A L A C T I ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C AT I ON
NUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .
CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s
SCHEDULE
A MONETARY( R e v . 0 7 / 0 3 ) RECE I PTS
CHECKT HI S B OX
I F
AMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OFCONTR I BUTOR RELAT I ONSHI P AMOUNT J I F FORRECE I VED
( MM/ DD/ YR )( i f a p p l i c a b l e )
AND PAC CHECKTO CANDI DATE'
( i f a p p l i c a b l e )RECE I VED FUND-
R AI S ERNUMBER I NCOME
I D# ~~~I I r t l a , . r l ~ l r n a n r l0- 5 1 1 , ) 1 0 4 0 CK # l ~3Z ~ t t v a s ~ ' ~~
T h e f o l l o w i n g i t e m s f r o m S c h e d u l e B o f t h i s r e p o r t w e r e d e em e d t o b e u n a l l o w a b l ee x p e n s e s D e n i s e h a s r e i m b u r s e d t h e c a mp a i g n a c c o u n t f r o m h e r p e r s o n a l f u n d s f o r
t h e f o l l o w i n g i t e ms , w i t h a c h e c k d a t e d 0 9 / 2 1 / 0 6
On S c h e d u l e BP a g e 8 0 2 / 1 7 / 0 6 S h o t T o w e r I n n ( f o o d ) 1 7 . 9 2
P a g e 1 2 0 3 / 0 3 / 0 6 I n d i a S t a r ( f o o d ) 1 2 . 7 0
0 3 / 0 4 / 0 6 Ne w P i o n e e r Co o p ( f o o d ) 9 . 9 0
P a g e 1 3 0 3 / 0 6 / 0 6 Ne wt o n 6 6 ( s n a c k s ) 8 . 5 4
0 3 / 0 8 / 0 6 P a n e r a B r e a d ( f o o d ) 5 . 2 8
P a g e 1 4 0 3 / 1 7 / 0 6 Owe n C r i s t ( u n l o c k c a r d o o r ) 3 1 . 8 0
P a g e 1 5 0 3 / 1 5 / 0 6 A Do n g R e s t a u r a n t ( f o o d ) 1 2 . 6 00 3 / 1 5 / 0 6 S t a r b u c k s ( f o o d ) 4 . 7 7
0 3 / 1 7 / 0 6 V a l l e y We s t ( f o o d - p a r t o f $ 2 1 . 7 9 ) 1 . 7 8
P a g e 1 6 0 3 / 2 2 / 0 6 Su bwa y ( f o o d ) 6 . 7 1
0 3 / 2 2 / 0 6 C a r r o l F o o d / A mo c o ( f o o d - p a r t o f $ 4 2 . 0 0 ) 1 0 . 0 0
P a g e 1 7 0 3 / 2 7 / 0 6 P a n e r a B r e a d ( f o o d ) 3 . 6 6
0 3 / 2 7 / 0 6 Ne w P i o n e e r Co o p ( f o o d ) 6 . 9 4
P a g e 1 9 0 4 / 0 4 / 0 6 D e l i c e B a k e r y ( f o o d ) 1 0 . 3 60 4 / 0 7 / 0 6 I o w a B a k e r y C a f e ( f o o d ) 6 . 3 1
P a g e 2 1 0 4 / 0 8 / 0 6 P e r k i n s ( f o o d ) 1 6 . 0 4
0 4 / 0 9 / 0 6 B l u e S t r a w b e r r y 1 7 . 0 0
P a g e 2 2 0 4 / 1 9 . 0 6 B u r g i e s E x p r e s s C a f e ( f o o d ) 6 . 4 0
0 4 / 1 9 / 0 6 B u r g i e s E x p r e s s C a f e ( f o o d ) 3 . 5 5
P a g e 2 4 0 4 / 2 7 / 0 6 HMS H o s t F o x S p o r t s ( f o o d ) 1 0 . 8 1
P a g e 2 5 0 4 / 3 0 / 0 6 Ma c h i n e S h e d ( f o o d ) 2 1 . 6 0
P a g e 2 8 0 5 / 1 2 / 0 6 A r b y ' s ( f o o d ) 3 . 7 0
F OR I NSTRUCT I ONS, SE E BACK OF F ORM R e s e t F or m SCHEDULE
EXPENDI TURES B MONETARY- - MONEY SPENT F ROM COMMI T T EE ACCOUNT
( R e v 0 7 / 0 3 ) EXPENDI TURES
STATE PAC COMMI TT EES : NOTE : F OR CONTRI BUTI ONS MADE T O STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I D E NT I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T HI S BOX I FPAC CHECK NUMBER F OR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA AMENDI NG F ORME T HI C S 3 CAMPAI GN DI SCLOSURE BOARD .
COM I T T E E NAME ( M u s t e s a a s o n St a t e me n t o f f e n l z a t i o
CANDI C* TE NAMEAND A
~ i ES$~ O WHOM PURPOSE AMOUNTDATE I D NUMBER EXP D I T L . ~ f E ( DESCR I BE TRANSACTI ON) EXPENDED
EXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) W9 S MADE
( MM/ DD/ YR) AND PAC
CHECKNUMBER -
I D # ! s
D 1 P CK #v G
I D#A
,. . ~. I L
I D# -
a 4 c K#/ , ~ ,
3 "i, > A~ ~
I D# FY I
o CK# T a i / L~ , 1 C ~ ( ~ ~ ' Ca 4 l I ' I L v 7
STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUT I ONS MADE TOSTATEWI DEOR LEGI SLAT I V ECANDI DATES, L I ST THE CANDI DATE I DENTI F I CATI ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECKTHI S BOXI FPACCHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI L ABL E FROM THE I OWA AMENDI NG FORMETHI CS 3 CAMPAI GN DI SCLOSURE BOARD.
CO I T TE NAME ( Mu s t same s o n St a t e me n t o f Or g a n i z a t i o n)
DATE
E
I D
CANDI DL
NUMBERNAME AND ADDR
~ ~
M
-PURPOSE AMOUNT
EXPENDI
l
( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) a( MM/ DDNR) AND PAC
r Ut l I I V J I f I J U I I U I V J , Z ~t t bALK Ur I - UHM SCHEDULE
EXPENDI TURES - - MONEY SPENT FROM COMMI TTE E ACCOUNT B MONETARY
( Re v . 0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FORCONTRI BUTI ONS MADE TO STATEWI DE OR LEG I SLAT I VECANDI DATES, L I S T THE CANDI DATE I DENTI FI CATI ON NUMBER I N THE DESI GNATED COLUMN AND THE A CHECK T H I S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD.
COMMI TTEE NAME ( Mu s t b e s a e a s o n St a t emen t Or g a ni z a t i o n)
. d am LN ` Q'
CANDI DATE NAME AND ADDRESS T WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDED
EXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PAC
CHECK
NUMBER
I D#~,
~v z . 1 1 gY ~ ~ , ~
'a 5 1 1 2 a ~Di ~ ~
o f/ I
ObCK# C h (
l 0 q - a n- t ~ f o $I D#
Cq ~ - ~ - l Y s ~ ,/( a
0 / 7 & CK# t 59b n t "
1 0 5 0 A 4 - 1 4 - - lM A r a SaI D# - ~Wr I ' u 0 * b y 1 CI 1 lb l l a 7 l o b X96 c , h t ' c b o b - o - L - 7 4 ,
CK#
o~I A4 - l , J ) 4 - / ~S) ~ - Kyl . , ~
I D# 1 _ - -i ` G , ~ ` ~ I
Af ~ a7 l v ~ 9 e 7 ~ h 4 -a! W-
c K#
1 0 sa A~~a n ~ ' ) c . 1 S' 1 Tv 2 z f a Sc ~I D#
( R e v . 0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E G I S L A T I V ECANDI DATES, L I S T THE CAND I DATE I D EN T I F I C AT I ON NUMBER I N THE DES I GNATED COLUMN AND THE CHECK THI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA AMENDI NG FORMETHI CS & CAMPA I GN D I SCLOSURE BOARD .
COMMI TTEE NAME ( u s t b e s am e a s n St a t e me n t o f
~ ' AO r g a n i z a t i o n )
CAND I DATE NAME D ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPEND I TURE ( DESCR I BE TRANSACTI ON) EXPENDED
EXPENDED ( i f a p p l i c a b l e ) ( Di s b ur s e me n t ) WAS MADE( MM/ DD/ YR) A ND P ACCHECK
NUMBER
I D#A y Y ) : wm. 6 Yu - ( o f f PD 0. ~G"
0 1 1 3 1 1 0 6CK# `
#I b7~41QI
Y~ , ~s l b b/ 05 7 AIVl
I D#C440-59ba~
QYf l 5t J I ' t t L a c
. ~ , ~ t . U e a , ~ C ~ ~ ( S A- r O L y / j
CK#
A~",
F - ~ ' Ca q t
1 0 5 f
0- t o o d 1D
I D# ` ~- ( x q n o , ,~f t 1 ' 5 S i T 0 , d ~
0 7 10 3 1 6 6 CK#t c a ~ 1 Ca P OLL~Z Gt . l a. (
v . ~ , d) , t o * ! 0
I D# g - _ , ( k 4 r w ` q a Yr ) i r e I mbHwS 4, y PoshaSG
a~o Ob CK#5 9b2 ` f Ghi c a~l a ~ C a l 1 M~ , 1 ~~t ~
- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 7 / 0 3 ) EXPENDI TURES
STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E NT I F I C A T I ON NUMBER I N THE DESI GNATED COLUMN AND THE k V CHECK T H I S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s a m e a s o n St a t e me n t o f Or a n i z a t i o n )
0 "&A0 4 \ _ - b - , g e t t " ~ ' (
CANDI DATE NAME AND ADCRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACT I ON) EXPENDED
EXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PAC
CHECK
NUMBER
I D# C u t t e r r r + ' t
C ° `
( ~ ° 1 Pe a -y
~
w
p j ~ o h
-
0 2 / / V / 6 6 CK#1 - 7 1
/ o 4 Ae s / ~ o ) f ws l ~ s~3~L * ' l o a_
I D #
sh~~ ' ~ - ~ - e , ~ o( j o f
l
ab c K# ~WA
ny ,~F o l
Care
, v , , 2 C . o . ~ ( Sr ' o Z m) ) - 5 5Y
D# Y , - WA n ) s
o a ~ ? I l l b CK# S , q l o - 4 CJh1Ca l , b ~
a bb 4 1 o r r i , J , c_ ,M l v a
1 D # ' ) 3 J t c t n v - " YV l , y
- - x q
d b ' 7 - - - G r A I o 6 ` ~ Oi l d , G
I D #
~ Q. Y t 7 l
N a tr , ( 1 6 , ~ . Qt >mb ut ~ I p a Sl a ~ S, L CaJ . + f " t ~
S TATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E N T I F I C AT I ON NUMBER I N THE DESI GNATED COLUMN AND THE I ~ CHECK T H I S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .
COMMI TTEE NAME ( Mu s t b e s am e a s o n S t a t e e n t o f O r g a n i z a t i o n )
e ) l f $ e ~CANDI DATE NAME AND ADDR SS TOWHOM PURPOSE AMOUNT
DATE
EXPENDED
I D NUMBER
( i f a p p l i c a b l e )
EXPENDI TURE
( D i s b u r s e me n t ) WAS MADE
( DESCRI BE TRANSACTI ON) EXPENDED
( MM/ DDf YR) AND PACCHECK
NUMBER
D#
~
a 5 -ca>~Pa
o > ~ ' a b c K# ) ZA A l t$ a- 3
D#
6 1#1 / 0 6 CK# 1 r r S1d N 1 Ck r r ~
I D #
o 2 I ~o b c K# Ca s e0 3 s a c t , ~ ~JO. : 1 a d r y . Sa - ~ i - > Z Cu r 1 s - c
I D #A l c o
- -
3s u P R J 1 ~ 5
0 a / / , CK# l b a - d C ~ f ~ wXA l a r n 4 t < _ S~ f i r ? C a m e l
EXPENDI TURES - - MONEY SPENT FROM COMMI T T EE ACCOUNT
STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L EGI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I ON NUMBER I N THE DESI GNATED COL UMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWAETHI CS & CAMPAI GN DI SCLOSURE BOARD .
SCHEDUL E
B MONETARY
( R e v 0 7 / 0 3 )
IEXPENDI TURES
CHECK T HI S BOX I FX AMENDI NG FORM
COMMI TT EE NAME ( Mu s t b e s ame a s o n t a t e me n t o f Or g a n i z a t i o n )
4 . v v o ~ A s 1
40 0 / ) 0 `
( ) D / / 7 1 0 &
d a OS / 6 1CK
b e 6 1 4
~ v r r v r 4 t e
An I YA- 0 - 2 d 1
t-$
' t
t 32v ~i L ~~
C( t u c ~ 9
sv3z5
1S
.1
PURPOSE
( DESCR I BE TRANSACTI ON)
as ~~e. ~ 1 , ~ ~ c y C
AMOUNT
EXPENDED
/ 7 7 a
a. 3 . ' 4 6
CANDI DATE NAME AND ADDRESS TO WFTOM
DATE I D NUMBER EXPENDI TUREEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e m e n t ) WAS MADE( MM/ DD/ YR) AND PAC
EXPENDI TURES - -MONEY SPENT FROMCOMMI T TEE ACCOUNT
STATE PAC COMMI TT EES NOTE : FOR CONTRI BUT I ONS MADE TO STATEWI DE OR L E GI S LAT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C A T I O N NUMBER I N THE DESI GNATED COL UMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE A L I S T OF I D NUMBERS I S A V AI L A B L E FROM T HE I OWAETHI CS & CAMPAI GN DI SC LOSURE BOARD
SCHEDULE
B I M O N E T A R Y( R e v . 0 7 / 0 3 )
EXPENDI TURES
CHECK T HI S BOX I F
AMENDI NG FORM
COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t eme n t o f Or g a n i z a t i o n )
a l b y Ob
a~a~ e b
a ~ a - ~ n b
CK#
1 ~4 r ~
I D#
C K#
I D#
l ~ z ww01
(
5 d 3 Z ~ (
f
wt s + h 5 r
~ ' Sv LOi
_ ( ~ . e n t e G
C~ t r wp a L7 7 k
Ca W` ~ a l~-
. ~
AMOUNTEXPENDED
35~y d
CANDI DATE NAME AND ADDRESS TO WHOM PURPOSEDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACT I ON)
EXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PACCHECKNUMBER
EXPENDI TURES - - MONEY SPENT FROM COMMI T T EE ACCOUNT
STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUT I ONS MADE T O STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I ON NUMBER I N THE DES I GNATED COLUMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWAETHI CS & CAMPAI GN DI SCLOSURE BOARD .
SCHEDULE
B MONETARY
( R e v . 0 7 / 0 3 )
IEXPENDI TURES
CHECK T HI S BOX I F
AMENDI NG FORM
COMMI TTEE NAME Mus t b e s a me a s o n S t a ment o f Or a n i z a t i o n
3 I l o ~ ( o , o
I D #
u 5 P5~ ~ _ s ~ J ~ ~A~ ~ - ~ t ~ f y 4 S- ~ , ~
-r L V , q
t l
Qt t Mj I
4 ) 0 1 + y " - +: r r h
Wa - v ~ ~ l q - v 1 9 4
O( ~) t i J Y V A) e
r; ; , q OZ ) u n I o w s i
1. t ) s - s - J l ~ e s~ h 4Cl F
PURPOSE( DESCRI BE TRANSACTI ON)
AMOUNT
EXPENDED
Ca
f o l t ~r i Gt f ;
h 2 t Vn
h t y ' . %G . f o r
o
p a -~
c
. ' I a 1 . (
Ana i h
Ga~Sv~
t ' " a n ~ D a ~v e l r u e , / t v 5
CANDI DATE NAME AND ADDRESS TO WHOM
DATE I D NUMBER EXPENDI TUREEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MM/ DDf YR) AND PAC
CHECKNUMBER
I D #I 3 - na"0. l 0vy l 3
G f b ~ l b T 5 ' 9 6 a~ C* LCa~ ~~CK#l 6 I G A - 1 - ~ ~ . ' r - l A
r UM mm~ I KUL, t I Ui v 5 , . > t t t f A C ; K Ut - l -UHMSCHEDULE
EXPENDI TURES - - MONEY SPENTFROM COMMI T T EE ACCOUNT B
MONETARY
( R e v . 0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DEOR L E GI S L AT I V ECANDI DATES, L I S T T HE CANDI DATE I D E NT I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THE ' CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s ame a s o n t a t e me n t o f r a n i z a t i o n )
~ C~ 1 ` QCANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT
DATEEXPENDED
I D NUMBER( i f
a p p l i c a b l e )
EXPENDI TURE
( D i s b u r s e me n t ) WAS MADE
( DESCRI BE TRANSACTI ON) EXPENDED
( MM/ DD/ YR) AND PACCHECKNUMBER
I ° # u s P ~
I D #~Y12an~r e 5 3 ~, ~ r SPv a ~ d , L
gJ : K3 . SbCK# c a >
I D# - I NSCu ~ T
h l ~ . h25~De r 1
rc a r e f o ' ' ~
a d g j d b CK# ~1~ l ~ J n , / 5 o ` f 7J~s - ; r cam
c ~ 3 1 6 9 b b CK#l 7 f i ' 9 r N a , ' ( 0 3 "~~
EXPENDI TURES - - MONEYSPENT FROM COMMI T TE E ACCOUNT
MONETARY.( Re v 0 7 / 0 3 ) EXPENDI TURES
STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L A T I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I O N NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROMETHI CS
THE& CAMPAI GN DI SCLOSURE
I OWABOARD . AMENDI NG FORM
COMMI TTEE NAME ( M u s t b e s ame a s o n S t a t e me n t o f r g a n i z a t i o n )
8 y 1YET
CANDI DATE NAME A N 1 5 ADDRESS TOWHOM PURPOSE AMOUNTDATE
EXPENDEDI D NUMBER
( i fa p p l i c a b l e )
EXPENDI TURE
( D i s b u r s e me n t ) WAS MADE
( DESCR I BE TRANSACTI ON) EXPENDED
( MM/ DD/ YR) AND PACCHECKNUMBER
I D# _ r Ad ( a o t , l ' a L , c v ~~ a~ c t ~ ~
c aa o O6 c K# 34do I MP/
3 I , ,
I D# o w l e t - Q n u c ~ c , ~ 3 o v r " Q0Y03" c K# a - 4 oa n t w r - , I
EXPENDI TURES - - MONEY SPENT FROM COMMI TT EE ACCOUNT
STATE PAC COMMI TTE ES : NOTE : FOR CONTRI BUT I ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E NT I F I C A T I O N NUMBER I N THE DES I GNATED COLUMN AND THEP AC CHECK NUMBER FOR EACH EXPEND I TURE A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWAETHI CS & CAMPAI GN D I SCLOSURE BOARD .
SCHEDULE
B MONETARY
( R e v.0 7 / 0 3 )E X P ENDI T URES
CHECK T HI S BOX I FAMENDI NG FORM
COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t eme n t o f O a n i z a t i o n )
OM
a76~~
I D#
CK#
D#
CK#
CK#
OU4&n "
/ ( k e~ L r y l 1 , 4
u 5 p s/ K 4 l n P 6 7 5 q~wQe sh
~ / + 4
0 v t I l t ~ y t ) o
PURPOSE
( D E SCR I BE TRANSACTI ON)AMOUNTEXPENDED
r , 9
C a * p V t l . Y ' l + Y L t
/ u r t c ~ - &/ A t ~ , e
/ J
Caw p a 1 1 5 n -
4 VA
/ 1 6 ' / r GA W15
P . D 4 4 ~ S f e t r r f j .
4 ; f CA" T - 11 j y * 1 - WA
~a15~ ~t S<vCL I
$ g. S~
*a
CAND I DATE NAME AND ' ADDRESS T ODATE I D NUMBER E X P END I T URE
E X P E N DE D ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE
FORI NSTRUCT I ONS, SEE BACK OF FORM R e s e t F o r m SCHEDULE
EXPEND I TURES B MONETARY- - MONEY SPENT FROM COMMI TT EE ACCOUNT
( R e v . 0 7 / 0 3 ) EXPENDI TURES
STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE T O STATEWI DE OR L EGI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T H I S BOX I FPAC CHECK NUMBER FOR EACH EXPEND I TURE A L I S T OF I D NUMBERS I S AVAI LAB LE FROM THE I OWA AMEND I NG FORMETH I CS & CAMPAI GN DI SCL OSURE BOARD .
COMMI TT EE NAME ( Mu s t b e s ame a s o n S t a t eme n t o f . O r g n i z a t i o n )
0&I V ' & ,
CAND I DATE NAME AND ADDRES S TO WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACT I ON) EXPENDED
EXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e m e n t ) WAS MADE
( MM/ DD / YR) AND P ACCHECK
NUMBER
I D #/ ` ' " ^ r ) n o m . r u r Ca o l l \
o ~ ~ o a CK#~ ' r " - ~I J r s t i c s t o P , 3 ~ N ( ~ s
I D # / J~ f Al i b wAs - h V 4cOvntc
v3l l o L CK#
A ~ ~ ~ ~ ~
? ~
c a y - FW5 t e t . ' ~ ' ~ 3 Pa~A / a , k<
( _ A « p25I D # L A I l Z f y V ~a s - ~ a r ' Ca
Oy l ? l b l o CK#Or s
, , f 7 i Gam- ~ ' ai 5 A, ` Q / 9 . 0 7 )C - 1 6 1 ,
I D # V a a v ) 1 1 6 - At A6 f ~ eAesh . ~ 6 o ~0 4 1 L - 40 3 / r r l o b CK# - e r a 1 4 ) L ( ~P-pa01 Y 1
FOR I NSTRUCTI ONS, SEE BACK OF FORM I R e s e t r =
SCHEDULE
EXPENDI TURES B- - MONEY SPENT FROM COMMI TT EE ACCOUNTMONETARY
( R e v. 0 7 / 0 3 ) EXPENDI TURES
STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E N T I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THE D CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORM- -.ETHI CS & CAMPAI GN DI SCLOSURE BOARD . ,
COMMI TTEE NAME ( Mu s t b e s am e a s o n t a t e m e n t o f Or g a n i z a t i o n )
I v1 l ` V r ~ r . , J t : , r v ' f ~ P J C d l , O' ( C ~
CANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACT I ON) EXPENDED
EXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE
( MM/ DD/ YR) AND PACCHECK
NUMBER
D#
CK#
o s : e o CamPar X ` ~ ~ d 6 , 1 ?
I D# -s -
I I O t 3 CK#
l l c , ' h ¢I D # A- pt ~esf auv~ ~~, r ~- h~ ~y ~ , ( s c
FOR I NSTRUCT I ONS, SEE BACK OF FORM R e s e t Fo n n
EXPENDI TURES - - MONEY SPENT FROM COMMI TT EE ACCOUNT
S T AT E PAC COMMI TT EES : NOTE : FOR CONTRI BUT I ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E NT I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWAETH I CS & CAMPAI GN DI SCLOSURE BOARD .
SCHEDULE
B MONETARY
( R e v. 0 7 / 0 3 )
EXPENDI TURES
CHECK T HI S BOX I F
AMENDf NG FORM
COMMI TT EE NAME ( Mu s t b e
me a s o n St a t e me n t o f r g a n i z a t i o n )
FOR I NSTRUCTI ONS, SEE BACK OF FORM R e s e t F o n nSCHEDULE
EXPENDI TURES - - MONEY SPENT FROM COMMI TT EE ACCOUNT B MONETARY
( R e v 0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E N T I F I C AT I ON NUMBER I N THE DESI GNATED COL UMN AND THE CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .
COMMI TTEE NAME Mu s t b e s am e a s o n St a t e me n o f O r g a n i z a t i o n )
d~ ' ~T A r d ' ACANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT
DATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PAC
CHECK
NUMBER
I D # U: 5 105 ~ a L S4 ~mt S
- -
o~a: v L CK# ~ G f , L v i a t Q5 $ ' j Jt 7
I D #~ e l 1 t s e
v Oa CK# 3 ~ ` ~ e v u v e f - 5 )c a s
° 1 . c R7_
1CAVAPA~VL
s ) ' l O SI D #
( ' a 5 t ~ " 5 , t s ev V z 9 / , L c K# 7~ ~ { ' ~ ' Y
FOR I NSTRUCTI ONS, SEE BACK OF FORM Re Wt F ° r r oSCHEDULE
EXPENDI TURES - - MONEY SPENT FROM COMMI T T EE ACCOUNT B MONETARY( R e v 0 7 / 0 3 ) EXPENDI TURES
STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I O N NUMBER I N THE DESI GNATED COLUMN AND THE I ~ CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA A ME N D I N G F O R METHI CS & CAMPAI GN DI SCLOSURE BOARD .
COMMI TT EE NAME ( Mu s t b e s a m e a s n St a t e me n t o f O r g a n i z a t i o n )
CANDI DATE NAME AND ADDRESS T Z f WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACTI ON) EXPENDED
EXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE
( MM/ DD/ YR) AND PACCHECK
NUMBER
I D #Na 1 , j 6 y 5 ba r h M5~ -~
oof/ j CK # n a
I D #
O~ f Oj ~ CK # f 2 , 0 b 1 4 9 , 3 4) V 6
c l v/ " ~j CK # / 1 ' t A l n D~z G w1~~ ~~~~~Ca l ~ ~ ` 1
FOR I NSTRUCTI ONS, SEE BACK OF FORM R e s e t F o r mSCHEDULE
EXPENDI TURES - - MONEY SPENT FROM COMMI T TEE ACCOUNT B MONETARY( R e v . 0 7 / 0 3 ) EXPENDI TURES
STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I O N NUMBER I N THE DESI GNATED COLUMN AND THE D CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s am e a s o n S t a t men t o f O r g a n i z a t i o n )1
r l ~ ~~~Ya. a~~
CANDI DATE NAME AND ADDRESS TO WHO PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACTI ON) EXPENDED
EXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE
( MM/ DD/ YR) AND PACCHECK
NUMBER
I D# ~ y 4 e r ' "R t i , r r f - ~ ~ , ~CK#
/ / 1 0 4 ! m s sA"jj ( A a r j c a S a5 . 3 ' fI D# 1 1 C 1
^ - 0 - r - 4 tCK# Fr o t a Aa h l ~ - r ~ c J I / 3 V o r o f
40 : 7 l n i ~~ 'e 1 1 . E d k b l (I D#- ~ ( c . C a r , ~ ~ t t i k c a m~~
FOR I NSTRUCTI ONS, SEE BACK OF FORM R e s e t F or mSCHEDULE
EXPENDI TURES - - MONEY SPENT FROMCOMMI TT EE ACCOUNT B MONETARY( R e v . 0 7 / 0 3 ) EXPENDI TURES
STATE PAC COMMI TT EES : NOTE : F OR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I D E NT I F I C AT I ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECK THI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD.
COMMI TTEE NAME ( Mu s t b e s a m e a s o n St a t e me n t o f O r g a n i z a t i o n )
CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACTI ON) EXPENDED
EXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE
FOR I NSTRUCT I ONS , SEE BACK OF FORM R e s e t f o r a t t ' SCHEDULE
EXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI T T EE ACCOUNT
( R e v . 0 7 / 0 3 ) EXPENDI TURES
STATE PACCOMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I ON NUMBER I N THE DESI GNATED COLUMN AND THE D CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD.
COMMI TTEE NAME ( M s t b e same a s o n a t eme n t o f r g a n i z a t i o n )
0I ~ P /
Y~
. ~CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT
DATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PAC
CHECKNUMBER
I D# 5wt ' ( s u eCK# / / 1 7 8 ' s " ,
ca vpaLS~a14 $ 37.
I D#I f 5 , ~ e , x p r n
CK# 1 1 6 . 0
I D#Y l Z. ~ ' 1 I ~ 1 ' I ~ ~e SS c ~ 1 1 p J t . ~s ~'
FOR I NSTRUCT I ONS, SEE BACK OF FORM f ~ e s e t Fo r mSCHEDULE
EXPENDI TURES B- - MONEY SPENT FROM COMMI T TEE ACCOUNT MONETARY( R e v . 0 7 / 0 3 ) EXPENDI TURES
STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T T HE CANDI DATE I D E N T I F I C AT I ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T H I S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA - AMENDI NG FORMETHI CS 8 CAMPAI GN DI SCLOSURE BOARD .
COMMI TTEE NAME ( Mu s t b e me a s n S t a t e me n t o f Or g a n i z e i o n )
CANDI DATE NAME AND ADDRESS T O WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACTI ON) EXPENDED
EXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE
FOR I NSTRUCT I ONS , SEE BACK OF FORM Re se t Fo r n 1
SCHEDULE
EXPENDI TURES - - MONEY SPENT FROM COMMI T T EE ACCOUNT B MONETARY
( R e v.
0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T T HE CANDI DATE I D EN T I F I C AT I O N NUMBER I N THE DESI GNATED COLUMN AND THE D CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THEETHI CS
I OWA& CAMPAI GN DI SCLOSURE BOARD . AMENDI NG FORM
COMMI TTEE NAME ( Mu s t b e s am e a s o n S a t e me n t o f 0 a n ' z a t i o n )
O' . C ~ me I _ - ~ ~ rCANDI DATE NAME AND A15DRESS TOWHOM PURPOSE AMOUNT
DATEEXPENDED
I D NUMBER
( i f a p p l i c a b l e )EXPENDI TURE
( Di s b u r s e me n t ) WAS MADE( DESCR I BE TRANSACTI ON) EXPENDED
( MM/ DD/ YR) AND PACCHECK
NUMBER
I D # p l t % e ^ x s f 3e6 1 , , I k CK# A n c a c r zJ
FOR I NSTRUCT I ONS, SEE BACK OF FORM R e s e t F o r mSCHEDULE
EXPENDI TURES - - MONEY SPENT FROM COMMI TT EE ACCOUNT B MONETARY
( R e v . 0 7 / 0 3 ) EXPENDI TURES
STATE PAC COMMI TTEES : NOTE : F OR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E N T I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THE D CHECK T HI S BOX I FPAC CHECK NUMBER F OR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD
COMMI TT EE NAME ( Mu s t b e s a me a o n S t a t e me n t o f O r g a n i z a t i o n )
d? . 5 t IwL~G~ W ACANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e m e n t ) WAS MADE
( MM/ DDr YR) AND PACCHECK
NUMBER
I D # j 3 ~ m_ Nam3 1 e1 4 r S2 - , 1 , / , s~
60# CK#5 4 6 ~ ~ t c ~~; , - -
i
1 D # ' [ 5 y l a n ~ , t ~ , r Y 1 . 3 > r e ( m. J v t Y - i e . ~7vS
bbCK# ~ ' ° I b ( Ch . L v 1 C i , mi Go r n J Y I c ~ t l l o
FOR I NSTRUCTI ONS, SEE BACK OF FORM I Re s e t F o r mI
SCHEDULE
EXPENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNT B MONETARY
( R e v . 0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA
~-A ME N DI N G F O R M
ETHI CS & CAMPAI GN DI SCLOSURE BOARD .
COMMI TTEE NAME ( Mu s t b e s am e a s o n St a t e me n t o f O r g a n i z a t i o n )
d ) , ~ Y h e r l . : 5 e c v e 4 a v ~ ~ 0"ACANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNT
DATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e )
( D i s b u r s e m e n t )WAS
MADE( MM/ DDI YR) AND PACCHECKNUMBER
D#
b ~ 0 d b C K # p- 1 , 0 S 9 T
Sd 9 1
I D #0 ( ' f e v , ~ ~
P
CA + l e e -~"
) W37 f
b ~ CK #
h&4~ . m~I1 D #
6 5 / , D 7 / O Z C K #1 t h 4
d5o ~ 6 ~ f ~ ~ ~ ~ ~ b u s o . 0o f c K # p a t C a a ( g n ! FAf
FOR I NSTRUCT I ONS, SEE BACK OF FORM R e s e t Fo r mSCHEDULE
EXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI T T EE ACCOUNT
( Re v . 0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FOR CONTRI BUT I ONS MADE TO STATEWI DE OR L E GI S L A T I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I O N NUMBER I N THE DESI GNATED COLUMN AND THE A CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA A M EN D I N G FORMETHI CS 8 CAMPAI GN DI SCLOSURE BOARD
COMMI TTEE NAME ( u s t b e s ame a s o n t a t e me n t o f g a n i z a t i o n )
0 8 VW1 - k - - _ 1 4 4 - k 1CANDI DATE NAME AND f DDRESS TOWOW PURPOSE AMOUNT
DATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PAC
COMMI TT EE NAME ( M u s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )
De n i s e O' B r i e n f o r S e c r e t a r y o f A g r i c u l t u r e
NOTE : D e b t s p r e v i o u s l y r e p o r t e d t h a t r e m a i n u n p a i d mu s t b e i n c l u d e d o n t h i sS c h e d u l e , a s w e l l a s a ny n e w o b l i g a t i o n s i n c u r r e d i n t h i s p e r i o d .
SCHEDULE
D I NCURRED( R e v . 0 8 / 9 8 ) I NDEBTEDNESS
m CHECK THI S BOX
I F AMENDI NGFORM
An " i n c u r r e d d e b t " i s a d e b t f o rDEBTS / OBL I GAT I ONS REMAI N I NG THI S REPORTI NG PERI OD
g o o d s o r s e r v i c e s o r d e r e d o r
( DO NOT I NCLUDE LOANS - - SHOWLOANS ON SCHEDULE F )
r e c e i v e d , b u t n o t p a i d f o r b y t h ee n d o f t h e r e p o r t i n g p e r i o d . ,
r e g a r d l e s s o f w h e t h e r a n i n v o i c eh a s b e e n r e c e i v e d
DATE
I NCURRED
( MM/ DDNR)
NAME AND ADDRESS OF PERSON
TOWHOM DEBT OR OBLI GATI ON I S OWED
DESCRI PT I ON OF GOODS ORSERVI CES PROVI DED OR
PURCHASED
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