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, = OR I NSTRUCT I ONS, SEE BACK O / - r ORM

COMMI TT EE 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 )OWENFOR - OWANSI MPORTANT : I n d i c a t e t y p e o f c o m mi t t e e y o u a r e r e p o r t i n g f o r : n( 1 ) S t a t e w i d e / L e g i s l a t i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s e C o mmi t t e e ( 7 ) C o u n / C i t y C e n t r a l C o mmi t t e e( 8 ) S u p p o r t S l a t e o f C a n d i d a t e sS I GNATURE OF TREASURER ( o r p e r s o n f i l i n g s r r t

I AM F I L I N G A

DI SCLOSURE SUMMARY PAGE

f S~- N c o( r e p o r t d a t e )

CHECK I F AMENDMENT T O REPORT DATED

Ro u t i n e Pe n a l t i e s Du e Fo r L a t e F i l e d Re p or t s R a n g e f r o m $ 2 0 t o $ 8 0 0SEE I N ST R UC T I ON S ON BACK ANDCOMPLETE THE FOLLOWI NG SENTENCE : J AN 1 8 2 0 0 2

0 C h e c k i f t h i s i s f i n a l ( t e r m i n a t i o n ) r e p o r t a n d a t t a c h No t i c e o f D i s s o l u t i o n Fo r m DR- 3 .( Y ou mus t c o nt i n ue t o f i l e r e p o r t s u n t i l a N o t i c e o f D i s s o l u t i o n i s f i l e d . )

TELE ONE DATE SI GNED

STATEMENT OF CASH ON HANDCASH ON HAND a t t h e b eg 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 h i s i s t h e t o t a lo f a l l mo n i e s h e l d b y t h e c o mmi t t e e . T h i s a m o u n t MUST b e t h e

s ame a s t h e c as h o n h a nd a t t h e e n d o 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADD TOTAL MONEY TAKEN I N T HI S PERI ODSc h ed u l e A C a s h C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h ed u l e A ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h ed u l e F : L o a n s Re c e i v e d t o t a l ( A t t a c h S c he d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h ed u l e H : T o t a l Sa l e s o f Ca mp a i g n P r o p e r t y ( A t t a c h Sc h ed u l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc he d u l e H a pp l i e s t o Ca n d i d a t e s ' Co mmi t t e e s On l y )

SUB- TOTAL . . . . . . $SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h ed u l e B : Ex p en d i t u r e s t o t a l ( A t t a c h Sc h ed u l e B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h ed u l e F : L o a n Re p a y me n t s t o t a l ( A t t a c h Sc h ed u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r i _ / ~I n d i c a t e o n e a

CASH ON HAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t , b a l a n ce mus tb e z e r o ) ( A t t a c h DR - 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

FORMDR- 2( Re v . 0 1 / 9 8 ) DI SCLOSUREREPORT

F o r O f f i c e Us e nComm #

L o c a l C o mm i t t e e s , e n t e r Da t e o f E l e c t i o nCo un t y & L o c a l C o mm i t t e e s , e n t e r Co u n t y i nw h i c h E l e c t i o n i s h e l d

REPORT FOR AN / A ( 1 ) ELECTI ON / ( 2 ) NON- ELECT YEAR .

UNPAI D BI L L S ( Fr om Sc he d u l e D a c h Sc h ed u l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ II N KI ND CONTRI BUTI ONS ( F r o m c e u e - A t t a c h S ch e du l e E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $OUTSTANDI NG LOANS ( Fr om Sc h ed u l e F - A t t a c h Sc h ed u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ CJCANDI DATE COMMI TTEES ONLY :CONSULTANT BREAKDOWN ( Sc he d ul e G At t a c he d ? ) YES 7 , ( NOVALUE OF CAMPAI GN PROPERTY ( F r o m S ch ed u l e H - A t t a c h Sc h ed u l e H ) $

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Fo r I n s t r u c t i o n s , See Back o f Fo r mCONTRIBUTI ONS- - MONEYTAKENI 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 same 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 )OWCN FOR I OWN, ~ S

SCHEDULEA I MONETARY( R ev . 0 6 / 9 7 ) RECEI PTS0 CHECK T HI S BOX I F

AMENDI NG FORM

STATECANDI DATES NOTE : I F ACONTRI 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 PACI DE NT I F I CA TI ONNUMBER AND THE PACCHECKNUMBER I N THEDESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A VA I L A B L E FROMTHE I OWA ETHI CSANDCAMPAI GNDI SCL OSURE BOARD.CAUTI ON : Se c t 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 se o f i n f o r ma t i o n c o pi e d f r o m r e p or t s an d s t a t e me nt s f o r s o l i c i t i n g c on t r i b u t i o ns o rf o r an y c omme 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 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

SUB- TOTAL 50 , 2 - r -TOTAL ( i f l a s t p a g e o f t h i s s c h ed u l e ) 1 $ 5 0 1 ( ; n

' D i s c l o s u r e l a w r e q u i r e s c a nd i d a t e c o mmi t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f an y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h ec o mmi t t e e. R e l a t i o n s h i p must b e s h o wn t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) an d a f f i n i t y ( r e l a t i v e s b ya g e 2 o; _m a r r i a g e ) ( S ee r or ms p a c k e t . ) I f s u r n a me o f c o n t r i b u t o r i s t h e same a s c a n d i d a t e , bu t t h e r e i s no P a g e

f a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mnOf

( f o r Sc h e d u l e A)

DATE PAC I D NUMBER NAMEANDADDRESSOF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 I F FORECEI VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECEI VED FUND-( MMI DDNR) ANDPACCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# Nof ZMA BEECNER12 3 OL. I P HAN%ST $CK# WEST BRANC. 0 _TA 52,358I D#CK#

I D#CK#I D#

CK#I D#CK#I D#

CK#I D#CK#I D#CK#I D#CK#I D#CK#

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T HI S BOX A PP L I E S TO CANDI DATES ' COMMI TTEE S ONL Y :P u r c h a s e s o f c e r t a i n c a m p a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e mu s t a l s o b e i n v e n t o r i e d o n S c h e d u l e H ( R e f e r t o S c h e d u l e H i n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s l e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s m u s t a l s o b e d e t a i l i t e m i z e d o nS c h e d u l e G b y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e made b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mmi t t e e ( R e f e r t oS c h e d u l e G i n s t r u c t i o n s a n d I o w a C o d e 5 6 . 6 ( 3 ) ( 1 ) . )

( f o r S c h e d u l e B )

FOR I N STRUCT I ONS , SEE BACK OF FORM SCHEDUL EEXPENDI TURES B MONETARY- - MONEY SPENT FROMCOMMI TTEE ACCOUNT ( R e v . 0 9 / 9 7 ) EXPENDI TURES

STATE PAC COMMI TTEE S : NOTE : FORCONTRI BUTI ONS MADE T O STATEWI DE OR L E G I S L A T I V EC A ND I D A T E S , L I S T THE CANDI DATE I D E N T I F I C A T I O N NUMBER I N T HE DESI GNATED COL UMN 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 A I L A B L E FROM THE I OWA AMENDI NG FORME T H I C S & CAMPAI GN DI SCLOSURE BOARD .COMMI TTE E 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 )OwEN FOR I GWANS

CANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNTDATE 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 / D D / Y R ) AND P ACCHECKNUMBERI D# RpALAND C++ECKS C~ , I ~ ECK oQ~E12GO CUM" N' T" 5 i p r ? i r F i f l N ~ +CK# 9 0 1 wMA i t l o o B o x Va8

US TB i Z A t ' J CN - T A S2AS8I D#

CK#I D#CK#I D#CK#I D#CK#

I D#CK#I D#CK#I D#CK#

SUB- TOTAL $ j t STOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e ) $ +t. 45

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FOR I NSTRUCTI ONS, SEEBACK OF FORMCOMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me nt o f O r g a n i z a t i o n )OWEN FOR I OWANS

SUB- TOTAL

TOTAL ( i f l a s tp a g e o f t h i s

s c h e du l e )

SCHEDULEE I I N K I ND( Re v 0 6 / 9 7 ) CONTRI BUTI ONS

El CHECK T H I S BOX I FAMENDI NG FORM

1 7 Z 1 0* D i s c l o s u r e l a w r e q u i r e s c a nd i d at e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a n i n k i n d c o n t r i b u t i o n t o t h e Page I o fc o mmi t t e e R e l a t i o n s h i p mu s t b e s h o w n t o t h e t h i r d d e gr e e o f c o ns a ngu i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s ( f o r Sc h e d u l e E)b y ma r r i a ge ) . ( Se e Page 2 o f f o r ms p a c k e t . ) I f s u r n a me o f c o n t r i b u t o r i s t h e s am e a s c a n d i d a t e , b u t t h e r e i s n of a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn .

DATE RELATI ONSHI P DESCRI PTI ON ESTI MATED I F FORRECEI VED NAME AND ADDRESS TOCANDI DATE OF I N K I ND F AI R MARKET FUND- RAI SER( MM/ DD/ YR) OF CONTRI BUTOR * ( i f a p p l i c a b l e ) CONTRI BUTI ON VALUE CONTRI BUTI ON

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