FOR INSTRUCTIONS, SEE BACK OF FORM DISCLOSURE SUMMARY PAGE COMMITTEE NAME (Must be same as on Statement of Organization) 6cr kt/ --fo_ r S f~c iee,o . IMPORTANT : Indicate by # type of committee you are reporting for : " ( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party ( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC ( 11 ) Local Ballot Issue CANDIDATE COMMITTEES ONLY: Candid ate Name r~ r Office Sought Late reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code section 68B .32A(7) the candidate, for a candidate's committee, and the chairperson, for any other type of committee, is the individual responsible for filing timely and accurate reports . I AM FILING A Political Party (if applicable) 12,,,6 b I; e k.L District (if Senate or House) IA ETH,,,- ;S it r~ ~~ r~ D IO U 09IK i#f )~UL (report date) Q T 005 []CHECK IF AMENDMENT TO REPORT DATED FILED 6y/ .1-)9 TELEPHONE 1-1 (Schedule H applies to Candidates' Committees Only) SUB-TOTAL . . . . . . . . . . . ..$ SUBTRACT TOTAL MONEY SPENT THIS PERIOD Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) ............ Schedule F: Loan Repayments total (Attach Schedule F) ................ ., ................ . ....... . ... ., ........ ., .. CASH ON HAND at the end of this reporting period (if final report balance must be zero) (Attach DR-3) .... . ............................. . .... . . . . . ....... . ....... . .... . ....... . ...... . ...... . .. . . . ................. . . . . .$ FORM DR-2 DISCLOSURE (Rev. 12/2005) ~ REPORT For Office Use O I Comm . # Logged In Scanned Computer Audited File with : Iowa Ethics and Campaign Disclosure Board 510 E. 12"', Ste . 1A Des Moines, Iowa 50319 Fax : 515-281-3701 ECTION /(2)NON-ELECTION YEAR . /o - 7 tr- 0 DATE SIGNED InIcate by # Focal Committees . enter Date of Election **OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ..................... . ................ . ...... . ... . ........ .,$ CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO CANDIDATE COMMITTEES ONLY : VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ STATE COMMITTEES : Submit a reconciled campaign account bank statement in January of each year . 3SIz . GS - " 5 7 **UNPAID BILLS (From Schedule D - Attach Schedule D) ........ . .. . ....... . ....... . ......... . . . ......... . ........... . ....... . ... .$ *IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ................... . .... . .................... . . . ... . ... :$ -7 Z 3 El Check if this is final (termination) report and attach Notice o Is (You must continue to file reports until a DR-3 is filed .) County & Local Committees, enter County in which Election is held STATEMENT OF CASH ON HAND CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the committee. This amount MUST be the same as the cash on hand at the end L1 7 .6 of the last reporting period or must be zero if this is first report filed .) ......... . .... . ........... . .............. .$ ADD TOTAL MONEY TAKEN IN THIS PERIOD Schedule A : Cash Contributions total (Attach Schedule A) (*also see in-kind below) ...... . . . .......... 6- 1 -7 3 a Schedule F: Loans Received total (Attach Schedule F) . ............... . ......... . .... . ................ . ... . .. ., ., .... Schedule H : Total Sales of Campaign Property (Attach Schedule H) .. . ............. . ......... . . . ....... . ......
14
Embed
(Rev. 12/2005) ~ REPORT 6crkt/ r Sf~c€¦ · FORINSTRUCTIONS, SEEBACKOFFORM DISCLOSURESUMMARYPAGE COMMITTEENAME(Mustbesameas onStatementofOrganization) 6crkt/--fo_ r Sf~c iee,o.
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FOR INSTRUCTIONS, SEE BACK OF FORM
DISCLOSURE SUMMARY PAGE
COMMITTEE NAME (Must be same as on Statement of Organization)
6crkt/ --fo_ r S f~c
iee,o .IMPORTANT : Indicate by # type of committee you are reporting for :"( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other PoliticalSubdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC( 11 ) Local Ballot Issue
CANDIDATE COMMITTEES ONLY:
Candidate Namer~ r
Office Sought
Late reports are subject to possible civil and criminal penalties. Pursuant to Iowa Code section 68B .32A(7)the candidate, for a candidate's committee, and the chairperson, for any other type of committee, is theindividual responsible for filing timely and accurate reports .
I AM FILING A
Political Party (if applicable)12,,,6�b I ;e k.L
District (if Senate or House)
IA ETH,,,-;S itr~
~~ r~DIOU
09IKi#f )~UL(report date)
Q
T
005[]CHECK IF AMENDMENTTO REPORT DATED
FILED
6y/ .1-)9TELEPHONE
1-1
(Schedule H applies to Candidates' Committees Only)
El Check if this is final (termination) report and attach Notice o Is(You must continue to file reports until a DR-3 is filed .) County & Local Committees, enter County in
which Election is held
STATEMENT OF CASH ON HANDCASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee. This amount MUST be the same as the cash on hand at the endL1 7.6of the last reporting period or must be zero if this is first report filed.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
ADD TOTAL MONEY TAKEN IN THIS PERIODSchedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . . . . . . . . . . . 6- 1 -7 3 a
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD .
NOTE: ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILINGRESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD.
CAUTION : Section 68B.32A(6), prohibits the use of information copied from reports and statements for soliciting contributions or for anycommercial purpose by any person other than statutory political committees .
SUB-TOTAL$
TOTAL (iflast page ofthis schedule)
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage) .
If surname of contributor is the same as candidate, but there is no
Page
offamilial relationship, enter "not applicable" in the relationship column .
(for ScheduleA)
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FORRECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
b
CK# Leo .-,ID#
AAiG CK# toZ G Z 1 $7S Pla~y`6/. o o0
.4 ofID# ,~~;c Ly~~
7/Z ylolo CK# 19 Srdhv;t,. 0r . ~o6o, c/j/292 V OSCeol4 ,4 of I
I D# C~ej . 3-1- e,-jC 4dCK# //7 /Yls,.AIL 5TF
3811 .d 5"0 1 -2 30I D#
p~I~ICG CK# 2ao S. kvss~,~{ 5 ~.17y2 D c / .4 oi 2S=
I/~
~GID# Cr/ tdp l Y3& rr
CK#to;Z
WC7 3/o -,1% 4Jc,"Je", Ti9 So Z6 y 2 5-
a-°-"
090Z/dt!S
ID# AJ ~ 44-1,CK# t 2y~- y30 S. T°~ylL
c75ceola. -ZW 5-0-1- 1 3Z os_o._-
/lZ/OGID# 5+r-f- Jea~ cr%.., js
CK# fr$y3l6Gf A/... 15-L J' R~-
GSccola TW Sc-,t13 /ooID# iQdP A t 4iA c MillerCK# 2071 I Gb+n Iq .-c
oSCa ls. -rAl 0 Z I SoiD#
CK# 134:3 o4k wood Sf . tooI - I Of-e ra ~$~O
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN(Including candidate's personal funds)
COMMITTEE NAME (Mustbe same as on Statement of Organization)
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM ASTATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
NOTE: ANYPERSON, OTHERTHAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAYHAVE FILINGRESPONSIBILITIES ANDSHOULD IMMEDIATELY CONTACTTHE BOARD.
CAUTION: Section 68B.32A(6), prohibits the use of information copied from reports and statements for soliciting contributions or for anycommercial purpose by any person other than statutory political committees .
SUB-TOTAL$ 6/5
TOTAL (iflast page of this schedule)
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage) .
If surname of contributor is the same as candidate, butthere is no
Page
Z
offamilial relationship, enter "not applicable" in the relationship column .
(for Schedule A)
DATE PAC ID NUMBER NAME AND DRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FORRECEIVED (ifapplicable) TO CANDIDATE* RECEIVED FUND-(MM/DD/YR) ANDPAC CHECK (ifapplicable) RAISER
CONTRIBUTIONS -- MONEY TAKEN IN(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
Reset Form SCHEDULEA MONETARY
(Rev. 07/03)I
RECEIPTS
60 CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
NOTE : ANY PERSON, OTHERTHAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAYHAVE FILINGRESPONSIBILITIES ANDSHOULD IMMEDIATELY CONTACTTHEBOARD.
CAUTION: Section 68B.32A(6), prohibits the use of information copied from reports and statements for soliciting contributions or for anycommercial purpose by any person other than statutory political committees .
TOTAL (Iflast page ofthis schedule)
SUB-TOTAL: $yyo
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage) .
If sumame of contributor is the same as candidate, butthere is no
Page
offamilial relationship, enter "not applicable" in the relationship column .
(for Schedule A)
DATERECEIVED
PAC ID NUMBER(ifapplicable)
EANDADDRESS OF CONTRIBUTOR RELATIONSHIPTO CANDIDATE'
AMOUNTRECEIVED
IF FORFUND-
(MMIDD/YR) ANDPACCHECK (if applicable) RAISERNUMBER INCOME
4//elloc CK# I ZAPn s, re :~~ I?~.2777 DSc'. la 1~4 Svzr3 Sv ~-
CONTRIBUTIONS -- MONEY TAKEN IN(Including candidate's personal funds)
COMMITTEE NAME (Mustbe same as on Statement of Organization)
Reset Form SCHEDULE
A
I MONETARY(Rev.07/03) RECEIPTS
~L CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
NOTE: ANYPERSON, OTHERTHAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAYHAVE FILINGRESPONSIBILITIES ANDSHOULD IMMEDIATELY CONTACTTHE BOARD.
CAUTION: Section 68B.32A(6), prohibits the use of information copied from reports and statements for soliciting contributions or for anycommercial purpose by any person other than statutory political committees .
SUB-TOTAL
TOTAL (iflast page of this schedule)
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage) .
If surname of contributor is the same as candidate, butthere is no
Page
Lloffamilial relationship, enter "not applicable" in the relationship column .
(for Schedule A)
DATE PAC ID NUMBER EAND DRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 1 IF FORRECEIVED (ifapplicable) TO CANDIDATE` RECEIVED FUND(MM/DD/YR) ANDPAC CHECK (ifapplicable) RAISER
ID# 5T-.C414- ~o.Ak~5CK# ce34 1Sog ~wl" G If 57C700-95CC,04 S0 Z, 3
o~~a6jo~ID# w,,A YCK#C6
5h 31 S2 G sf 5f
wnoJ .7~ SoZ s- io.�n
o~jaGjG
ID# ., ~qrr/o(f6WQ�y 0.3411
~' XCK#S3S's~7 3!0 -4-1-
Uc I J .9 SvzG Zoo0
$ 2G~ID# ~~ 4 .Suc lVcr~tSsCK#
3~y2~r 14OSCe.k
1-161.4 S-L-PZ I3 2S
ID# //7 CK#Ofl7
y~o w. rr t~Ofl
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN(Including candidate's personal funds)
COMMITTEE NAME(Must be same as on Statement of Organization)
Uar~ -F,, r 54a,+v- aZ
Reset Form SCHEDULEA
I MONETARY(Rev. 07/03)
RECEIPTS
® CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
NOTE: ANYPERSON, OTHERTHAN AN INDIVIDUAL, THAT CONTRIBUTESMORE THAN $750 TO YOUR CAMPAIGN MAYHAVE FILINGRESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACTTHE BOARD.
CAUTION: Section 68B.32A(6), prohibits the use of information copied from reports and statements for soliciting contributions or for anycommercial purpose by any person other than statutory political committees .
5TOTAL (if last page ofthis schedule)
SUB-roTAL78
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to thecommittee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage) .
If sumame of contributor is the same as candidate, but there is no
Page
.5-offamilial relationship, enter "not applicable" in the relationship column .
(for Schedule A)
DATE PAC ID NUMBER NAM DADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FORRECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-(MMW/YR) ANDPACCHECK (ifapplicable) RAISER
CONTRIBUTIONS -- MONEY TAKEN IN(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on StatementofOrganization)
Rr
S+-Je-
[~e d
Read Form SCHEDULE
A MONETARY(Rev . 07/03)
I
RECEIPTS
® CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD .
NOTE: ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILINGRESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD .
CAUTION : Section 68B.32A(6), prohibits the use of information copied from reports and statements for soliciting contributions or for anycommercial purpose by any person other than statutory political committees .
SUB-TOTAL $I6,7(-/
TOTAL (iflast page ofthis schedule)
Disclosure law requires candidatecommittees to disclose the relationship of any relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage) .
Ifsumame ofcontributor is the same as candidate, but there is no
Page
offamilial relationship, enter "not applicable" in the relationship column.
(for Schedule A)
DATE PAC I NUMBER E AND ADDRESS O CONTRIBUTOR RELATIONSHIP AMOUNT IF FORRECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOMEID# G .~C)a- Ca~,(er d'oie-
72Gl0G CK# C45~lS2 oA Z So'fh Arc0Scevtti. J_A4 510"1 -3
01/29/06ID# 41an 4 /Ua-c,/ &4 eS
2 015- CCK# S-~ oGv,.
C $ ¢-~ r ,4 kv ~)1 e so CA
q~G CK# C ol y D
f o 150c i If"V
eorrq%
~`IIpl /VLID# s4n,a a. Sara ~CK#
2712~t: Sev4.~. I~r . s'O 00,E k+or.
09406106ID# ~lt~c ~c .1. LCw rti JonesCK# 3Z11 UJeoc) bru.(~ L -n,S hy K)e-,, ,t,4 S-ozi o /oo°~
;,W,/ f f'49a~e~t / c~S~e )CK#~~ ZZ9 w' L~1Ca~n sf,
°~Gli.r, C/o Z S
/IZ/oh''CK# ( 39 7
ltsrl& 1rZC79ceo&_
lr-/.~C*4 Sot I lvv
For Instructions, See Back of Form
CONTRIBUTIONS -- MONEY TAKEN IN(Including candidate's personal funds)
COMMITTEE NAME(Must be same as on Statement ofOrganization)
I66i -X411 41r S4J-c-
Reset Form SCHEDULE
A
I MONETARY(Rev .07/03) I RECEIPTS
CHECK THIS BOX IFAMENDING FORM
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
NOTE: ANYPERSON, OTHERTHAN AN INDIVIDUAL, THAT CONTRIBUTESMORE THAN $750 TO YOUR CAMPAIGN MAYHAVE FILINGRESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACTTHE BOARD.
CAUTION: Section 68B.32A(6), prohibits the use of information copied from reports and statements for soliciting contributions or for anycommercial purpose by any person other than statutory political committees .
$j
TOTAL(iflastpage of this schedule)
SUB-TOTAL r ~~ ~
Disclosure law requires candidate committees to disclose the relationship ofany relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage) .
If surname of contributor is the same as candidate, but there is no
Page
7
offamilial relationship, enter "not applicable" in the relationship column .
(for Schedule A)
DATE PAC ID NUMBER NAM ANDADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FORRECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-(MM/DD/YR) ANDPAC CHECK (ifapplicable) RAISER
CONTRIBUTIONS -- MONEY TAKEN IN(Including candidate's personal funds)
COMMITTEE NAME (Must be same as on Statement of Organization)
Reset Form SCHEDULEA
I MONETARY(Rev. 07/03)
RECEIPTS
Wj CHECK THIS BOX IFAMENDING FORM
STATECANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM ASTATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATIONNUMBER AND THEPAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGNDISCLOSURE BOARD.
NOTE : ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILINGRESPONSIBILITIES ANDSHOULD IMMEDIATELY CONTACTTHEBOARD.
CAUTION: Section 68B.32A(6), prohibits the use of information copied from reports and statements for soliciting contributions or for anycommercial purpose by any person other than statutory political committees .
SUB-TOTAL
$ 5")73"TOTAL (if lastpage of this schedule)
Disclosure law requires candidate committees to disclose the relationship ofany relative making a contribution to thecommittee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives bymarriage) .
If surname of contributor is the same as candidate, but there is no
Page
offamilial relationship, enter "not applicable" in the relationship column .
(for Schedule A)
DATE PAC I NUMBER NAME ANDADDRESSOF CONTRIBUTOR RELATIONSHIP AMOUNT IF FORRECEIVED (ifapplicable) TO CANDIDATE' RECEIVED FUND-(MMIDD/YR) AND PACCHECK (if applicable) RAISER
NUMBER INCOME/ ID# 7,"t=77 e7 797773
ID#
CK#G7ol c~oo~ oC7z-l ~CX~ac7
ID#
CK#
ID#
CK#
CK#
I D#
CK#
I D#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to personstentities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized onSchedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf ofthe candidate's committee . (Refer toSchedule G instructions and Iowa Code 68A.402(3)(i).)
Page -__-_ of
'3-
(forSchedule B)
FORINSTRUCTIONS, SEEBACK OF FORM Resd Form SCHEDULEEXPENDITURES B MONETARY-- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07103) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVECANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE ~- CHECK THIS BOX IFPAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORMETHICS $ CAMPAIGN DISCLOSURE BOARD.
COMMITTEE NAME (Must be same as on Statement of Organization)
/A, ~_~ _(~; , S4J--e_CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDEDEXPENDED (if applicable) (Disbursement) WAS MADE(MM/DD/YR) AND PAC
Purchases ofcertain campaign property costing $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)
Expenditures to persons/entifes providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized onSchedule Gby the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Refer toSchedule Ginstructions and Iowa Code ti8A.402(3)(i) .)
Page -2--of- -3--
(for Schedule B)
FOR INSTRUCTIONS, SEEBACK OF FORM ResetForal SCHEDULE
EXPENDITURES MONETARY-- MONEY SPENT FROM COMMITTEE ACCOUNT(Rev. 07/03) EXPENDITURES
STATE PACCOMMITTEES : NOTE : FORCONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVECANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN ANDTHE CHECKTHIS BOX IFPACCHECK NUMBER FOREACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THEIOWA AMENDING FORMETHICS &CAMPAIGN DISCLOSURE BOARD.
COMMITTEE NAME (Must be same as on Statement of Organization)
- "o7 STG3&--CANDIDATE NAME ANDADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDEDEXPENDED (if applicable) (Disbursement) WAS MADE(MM/DD/YR) ANDPAC
~BC- 5~ h Si2 o CK# .s.. ; s - Mob. ~ l~l ( . 366~t 7, SZ~
ID# "4dyer-~-i5~-r~ Ad in tiLe9 Ih b~ CK# 111
~a/37H
os&eola, /.4
9/i CK# ~J S -'r- 7Vp . bU
ID#Ciat-kQ Ccvlr,-) PLLblI's1~~~>- I~ ~n Ix=pei
CK# (15 F wetski-hn,
/UD
SUB-TOTAL $ 2 - ZH zg
TOTAL (iflast page of this schedule) $
THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to personstentities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized onSchedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf ofthe candidate's committee . (Refer toSchedule G instructions and Iowa Code 68A.402(3)(i).)
Page __3 _-_ of __ -~?
(for Schedule B)
FOR INSTRUCTIONS, SEEBACK OF FORM Reset Form SCHEDULE
EXPENDITURES B MONETARY-- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. 07/03) EXPENDITURESSTATE PAC COMMITTEES: NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVECANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IFPAC CHECK NUMBER FOR EACH EXPENDITURE . A LISTOF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORMETHICS & CAMPAIGN DISCLOSURE BOARD .
COMMITTEE NAME (Must be same as on Statement ofOrganization)
t3c r_ 5at qtr .CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDEDEXPENDED (if applicable) (Disbursement) WAS MADE(MM/DD/YR) AND PAC
CHECKNUMBER
ID# CreS-fare f khl"ski,Ct. . 'n~'d /11 ~'1f'. PGC .l-.~.i°~,,,
5-D3 w/ . /~dQ~s Sfi . 1
I/c~, CK# $ '7~3/. oresin Ip 5-be"',
ID# - )-Qrnon~ -i-CniC-~E. ~~ 1'n thr oL pPr-q~al lo~ CK# ilb N- Llri den l o ,~- . &C;
LCt.n,C~1 . A 3a I qcID# LeaYl JUL-~i-KCLI d rr\ +ke CcPe,-
~~af CK# IIO A)- Main -73Lee
I D#
CK#
I D#
CK#
1D#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL $ ~7
TOTAL (iflast page ofthis schedule) $ 3S12 G s'
FOR INSTRUCTIONS, SEE BACK OF FORM
COMMITTEE NAME (Must be same as on Statement of Organization)
fo/- SAI~_ La .
Reset Form
SCHEDULEE IN-KIND
(Rev . 06/97A CONTRIBUTIONS
(p CHECK THIS BOX IFAMENDING FORM
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the
Page
of
Zcommittee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives
(for Schedule E)by marriage) .
(See Page 2 of forms packet.) If sumame of contributor is the same as candidate, but there is nofamilial relationship, enter "not applicable" in the relationship column .
DATE RELATIONSHIP DESCRIPTION ESTIMATED 4 IF FORRECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER(MM/DDIYR) OF CONTRIBUTOR ' (if applicable) CONTRIBUTION VALUE CONTRIBUTION
of/x/cG re?) Ea,f 9 {i S ~o°~ 7 v dos FDes-4fotnrs .174 S'0301
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`s ^,;i e ~9 570309
0JI.13lo(o0.,s� b);Z&-, /any o f row 41 gr~r F(C ? I EAS+ 9 +4
'tee .1I~ SD o 1'~a : ~ l~ss~ i, SOUK
30 oG C,1t G~,t ~t~ Os~a~ S7S 93es o "..a ,4 S0 3 c' 5/a(, Qea,,~hf~ 1°w~y cf To ".x. lri~ ec} ,h4: 113
09 1,106 r.7 t last s 14 1 6 ~' ' '~ y 95! yz,p4 s0 cl
t~ ~ ~ ~ rl0v~j~e l G~ /ACtl 7y D ~- Vircc~ ~4. lz t ~- ~C-ti, ~.t F, n EJ
-FOR INSTRUCTIONS, SEE BACK OF FORMCOMMITTEE NAME (Must be same as on Statement ofOrganization)
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SCHEDULEE IN-KIND
(Rev. 06/97)ICONTRIBUTIONS
® CHECK THIS BOX IFAMENDING FORM
`Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the
Page
Z
of
_Z-committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives
(for Schedule E)by marriage) .
(See Page 2 of forms packet .) If surname of contributor is the same as candidate, but there is nofamilial relationship, enter "not applicable" in the relationship column.
DATERECEIVED NAME AND ADDRESS
RELATIONSHIPTO CANDIDATE
DESCRIPTIONOF IN KIND
ESTIMATEDFAIR MARKET
4 IF FORFUND-RAISER
(MM/DD/YR) OF CONTRIBUTOR ' (if applicable) CONTRIBUTION VALUE CONTRIBUTION