You are on page 1of 43

FOR INSTRUC,,,IONS, SEE BACK OF ° - -RM FORM

DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 01/98) REPORT

For Office Use Only

COMMIT EE NAME (Must~be same as on Statement of Organization) Comm . #

hl 4jrlef..t -b r S C R C 1 -C- Indexed


Audited
IMPORTANT: Indicate type of committee you are reporting for: LLI Computer
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
( 8 )Support Slate of Candidates
&///- q73--1a7& / - 1S-o,;?
SIGNATURE OF TREASU R (or person filing this report) TELEPHONE DATE SIGNED

Routine Penalties Due For Late Filed Reports Range from $20 to $800

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :


-6 -1, Z.
I AM FILING A &cem ber 31 Z(~D 1 REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
FT1
(report date) Indicate one
ZuuL
JAN 2 2
FlCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election
06 A

-SM ~ I

County & Local Committees, enter County in


F~ Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . which Election is held
(You must continue to file reports until a Notice of Dissolution is filed.)

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period . (This is the total
of all monies held by the committee. This amount MUST be the
same as the cash on hand at the end of the last reporting period,
or must be zero if this is first report filed .) .. .. .. .. .. . . . .. .. .. .. .. .. .. .. .. ....... .. .. .. .. .. . . . .. .. .. .. .. .. .. .. . . . .. .. . .$ - 0 --

ADD TOTAL MONEY TAKEN IN THIS PERIOD


Schedule A: Cash Contributions total (Attach Schedule A) . .. . . . .. .. .. .. .. .. .. .. . .. .. .. .. .. . .. .. .. .. .. .. .. . . / 6. 3 0/0, nD - ~~

Schedule F: Loans Received total (Attach Schedule F) .. .. .. . . . .. .. .. .. .. ......... .. .. .. . . . .. .. .. .. .. . .. .. .. .


Schedule H: Total Sales of Campaign Property (Attach Schedule H) ....... .. .. .. . . . .. .. .. .. .. .. .... . .
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL..... .$ 3qo . oo
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) . .. .. .. . . . .. .. .. .. .. .. .. .. . . . .. .. .. .. .. .. ..... .. .. .. . . . .. .. 4_2
1
U 1-,,-J
L-/ 6 ,> V
Schedule F: Loan Repayments total (Attach Schedule F) . . .. .. .. .. .. .. .. .. . . . .. .. .. .. .. . .... .. .. .. .. . .. .. ..

CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) . .. .. .. .. .. . . . .. .. .. . .. .. .. .. .. .. .. .. .. .. .. .. .. .. . . . .. .. .. .. .. .. . . .. .. .. . . .... . .. .. .. .. . . . .. .. .. .. .. .. .. . .$

UNPAID BILLS (From Schedule D - Attach Schedule D) .. .. .. .... . . . .. .. .. .. .. .. .. .. . . . .. .. .. .. .. .. .. . .. .. .. .. . . . .. .. .. ...$ .3 &' .~ -r " Sr
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . .. .. .. .. .. . . . .. .. .. . .. .. .. .. .. .. .. .. . . . .. .. .. ...$
OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .. .. . . . .. .. .. .. .. .. .. .. . . . .. .. .. .. . .. .. .. .. .. .. .. . . . ..$ 3 orD - cc) - ,-
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
Q
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ 3 3 5_0 " CX2
For Instructions, See Back of Forr
SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev . 06/97) I RECEIPTS
(Including candidate's personal funds)

CHECK THIS BOX IF


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

'r S
NDIDATES NO E : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER


RECEIVED (if applicable)
NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT I IF FOR
TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

140 ID#
Zoh r% MA m 5

o l-edoAlLA s
1 l02 N East " $ a0. DO
CK#
a.3 4-a

glz4/01
ID# Ralph ves -tod
3 o-I Sox 35 ,/
CK# a5. 00
~la.c~bftal,k Sb(o35

1 Anni5
ID#
AHvta
2/1-7
°I
CK# a r7 te x Ave- a5 " co
7 sar+ ?A saaay-9sfr8
ID# rn ~ r iyr, Appe I ate
1 t/2b~oI cK# 1 I 'T a hw3 ~a7 100-00
aivll -JA S'O1a3a,
Gavtaiv
ID#
' (Ularg WppeI~ afG
(0 t OI CK# I ao'l d3O-'a~' 5b . o0
G lad lomo 1~ Z7A Sb(o 3~
ID#
l e lalrtd Are"'td s
t~'t to1
CK# 30(00? K Avrevtve . a5~
eran~t-avt Z7a 5~~~'~SS t
ID#
"D~lOora H h 6V
l t l~ W/61 CK# a941 kk b I)o tf- Arc . So . DO
G ; t m .rt ~, TA 60 10 to
ID# Diavme Za,rker
a1~5101 31a t~' 11 ores t ("~I'wc, t/
cK# 075,00
beck lei 5b(oCo9
I°#
Susa  ~3ar+leti-
a/a 4`bt ~a S+ .
CK# .23r(P s 3O
u vt vt e Its 3K 5OR 31
ID# 'Tohn /3aLlGk
IC~I~,CSt
t/ 411 Wt st 5 (' X57
CK# t 00 .00 t/
'Tra er 1A 5a(o'75

SUB-TOTAL
$ 45b, oo
TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page Of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Forr
SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY


(Rev. 06/97) I RECEIPTS
(Including candidate's personal funds)

CHECK THIS BOX IF


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

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

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for
soliciting contributions or
for any commercial purpose by any person other than statutory political committees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT I IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER
INCOME
ID#
Sera i3aurneier
10 ( _1 10 1 CK# 125a Hw~j 9 $ 1Q() .DO Ii/
for c. ZTb 5103.5-93
I D#
firt hit~ Bar
qJ~~) fof CK# Po B0,c ~a 5. od t/
'Tawta - At 5d33q
I D#
rWarc~

101 14 101 CK# ?OS'" Wastt.t'-5'brt Q57, 00 I/


Glad rook '11q So(o3s
I D#

Iv 1-~~ol CK# 11 ~~ Act


l od 6 rtao k 1 60(-36
I D#

1t714101 a. '.
a S, od
CK# l I CAA- I ton
GoLywin 1R ~o(o3ot
I D#
S k e'rcj I '6rZL rtAf
1014/o1 CK# tai9 53,A s-t
as 60
Ppr f-;e, G 1A 50(651
ID#
~reakehriGeJ
D1 I /ol
CK# a155 Nor V.wed 10 . 00

I D#
To m 'Brt'e*i
10 11/01 393o U .r Ipandale Aw- ( Co, 00 7/'
CK#
mo,I e s M P ;A ,s ]A 031 o
ID#
11/v9/0 1 ~nAl, gown
3o5l NW 14QO ~'
CK# °~'~ . 00
Des M-0k." JA 503/0
I D#

10151o1 19 -L o" e St
CK# as*oo ,~
ra e,r ]A sb(PIs
SUB-TOTAL

TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page of,
familial relationship, enter "not applicable" in the relationship column .
(for Schedule A)
For Instructions, See Back of Forr SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Dani4e ~rln2n~
~0,7 lo( Sf:
CK# 115a 1(.011-- $ 40* 00 ,/
Glad I,orao k ~ SD b 35"'
ID#
~o~ '7kCX1 . girt.
/01 CK# 7 -7 -N, 10- Aw R5-o0
Lu ae.rn e 2A 5A a5?
L1/214
ID#
S~eekt',in _4troer .
Rld4lot CK# 319 [14 was eDrrvtL lo
arsha 1 wn 5V 1-G'3
ID#
Kar k Zu.skoti I
In~~lo1 CK# '70455 P J` I S.~
G ru 5 X38
ID#
-David "mad
Cari5
tn~5~bl
CK# 5LI01 land At, as, o0
') t~5 moirt,QO Q% 503 I
ID# CpM
1 0101 10( CK# ?O-4 LO.
Jr--b
. Do
T .&d i Kota Z1A 5oi a5
ID#
Gi t her(' CXatvfturd
a4q4 ~w~ ~ .~
)Ol1 /C) ( CK#
Toa,wct 7~ 5A337-q -7 -75
1D#

~D(5101 CK# P" 5&~a~ a 0


5blo 3 S
ID# Cp h r e,~EWtGh'f'
po It*x 154 /,000.00
11/40/0 1 CK#
crVI$Co 1A
5- A)340
1D# wa 11 f-er Cock ra r,
$(P~oc)' 'Drive,
0! CK# ) t4 s aS
_61A. C1:--; kawL. Sotc l a
u SUB-TOTAL

TOTAL (iflast page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (Seeof Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page 3 1
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Lt4nt c+ ~br St,vl_ J


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

CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
DY1U ~u Cor beTT'
a 0~ CK# 3 .11 30~' ~' sE
r fc1 s A 5Q4D3 $ . I"~

a/~5/01
ID#

CK#
Paul Co
lic)"7 P if, '
W1 1 5f: 07500 I/
r,t~n -D% ~a3
ID#
Flo~cl Ctk.-Ner
o
l t 4 1: I1 CK# ;L10 Pet.rk 3O_Do V
in -1A 5OCo3A
I D# lF (om d t:Lt,~ I''"
t0j41b1 QIO 50y- 1 -7 43 W.00 V1,
cK#
6Lrwin 1 Sp (c 3 ~
ID# mar to". - km s
014`o I
CK#
A4-1 ; PA OA led 30-0o c/
TraU-- 3A sdlo ?~
ID# G le a -DeviC.k.
gl2q/o1 ~$31 ,
b sf. 00
CK#
6et heck ~ 500(09'
ID# CU, rO l,~h e
10~510l hl-er' 30.00 i/
CK# I431 ;, '"em Driv_e- e
5ctv' WJ 5.5 -37,5Y
ID#
MAra ; 17u.dden
9~~5(0l
CK# A1409 V Avr-ma4-
IZe nteec k JA SO(,~`1
ID#
KickArvt eQS
57l Ivolot, Vbtllet~ Dri
CK#
kee 1A Spa b3
ID#
C1l,q
Nor sfnee.-r ~r- I/
Ib'~/b cK# G a8. olJ " Do
3A Sd ~o ~S
SUB-TOTAL

TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev.06/97) I RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Pu Ir Se nole~
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# Georlefe Ectel
10~'1/01 11aq Hwy -r`I 7 a5 0o t/
CK#
IGt~( Ior k ~ S(~(o 35
ID#
p
(O 5 o l CK# 3 49 ~ E~ f1-vt"b ~s.vv t/
Caru ctoter J44 ,52(0 38
ID#
~1 I I E ~MOre-
W.14/01 CK# a lU1 B Aveln.ue. RS, 00
I! L . b rock 1 5a(o 3S
I D# ~^w
Elww+^e-
X00 " OD

f 0 l/c I 1 ~(, 3 Sfrw-ei


CK# 1904

roc k ~ Sa (0 35
ID# 3cn Espen 5C_he.Jd
Q/o? 1/ OI CK# , S~efi
A~$j! 14'be 30 .00
Traer ~ 50(0?5
I D#
12/31101 CK# 1300
°° a S-he_4 as, 00
A 3~
ID#
ae~ky ~~evcld
t/~
! C~ (s/o 1 CK# I?~7 1(05L Sfirre4 3v .OC~
I ad 6roo 1A SD (0 3S
ID#
Royce, Ffc .~tner
/~S~o1 DISO^ W" as,ou
CK# 1110
MArstia / W~ 5b159
ID# Flarinerc~
~'bHn
a l x SPree4
CK# I v '~ o?00 " DD
e + Des ;,ta 11~ SDRGS
I D# '
lo'tl0/ CK# ~333 t Abbtl ~Avenue, ,ZS-,t00
t-oo 17i Sa (035
SUB-TOTAL
$ 510 . 00
TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)

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


0 CHECK THIS BOX IF
AMENDING FORM

Puhtu -li
ar SUB

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

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# Ge ra Id Gale.
1o112/01 CK#
Po 3a X a7l $ 3C) . oo v/

C.on ra61 Tip SD( 1


ID# Gamble,
y101 CK# 51'F WA skim fa vl as .oo
ql ~?
brwik soe3s
ID# lk,r~s Gar~
to f4/0 3aGD 1 a0 1= S .et a .5 0o c/
CK#
13 eA rh.&rt ~ SO(p~
ID# AArrtj Gardvter
toes lo CK# acl u Grew as,ov
( o 'A sa34a
I D#
ty G S~Sfree- nh
-eefi
10(11010 I CK# 1'303 5000
G
Ctaj~r-vv~_ -JA S6& 3-5
ID# G&krvAnh
10 f 4/01 CK# PC) 0X aaO Son
(ad lorook JA 54)(P35
I D#

)015'ol CK# Po S~ ..G1U


G1U
U l~
M.a.5 15$
ID# UKL& GC nh
1u a3 ~00R
. Strcef
a autol CK# as.d
l
G lad l6ro ak Tk 5b~35
ID# (" r lo f,G G2ikfr'Ann
q~aslol CK# 1Q(o3 E A-ueit"e, ;2S-OU
adbr c -M 5a~c35
ID# G h6ns
AAhe 1,
35& 33 ;tt~4 P10-ce lDO . o0
CK#
O a__A,D
P.f-rr
SUB-TOTAL
$ y3o .oof-
TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Forrr SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev . 06/97) I RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D# '
1014f01

CK# a3o 170 'Sfi"~_f $ a5- 00 I/


C~ aL( 6roo k ?14 Sb (. 3S
I D# ~~
G~'Grlrils~
bv%col n 5tru-fi at)
~1'~wta
1bJ5'ol CK# (001 00 r/
5-UP 35
ID#
iC,6ck G ;pP
Sfrre4
1014/o i CK# 151 -7 (kS5
G rah -
,14A ,Sa1OI " 75(0)
ID#

(05/01 CK# a 095 Ave^ue-


aS"DD
rad TA -
I D#
LjnAc Goo S
10 (7101 CK# (2O 3c y. d-4 7 aS', co ,/
Glad rbok- ?A 5b l0 3S
I D# Son Era n eokJ
101 % )Ol CK# dN4 Sf~V't lfls0n Orive. o1DO . 00 1/
,, -JA 5ZM10
ID# Gra .
W" ne- 4WLJ 30
10/7 /0l CK# a as 4 6~5.00
T TA !5 -A339-94o -7
ID# Grc~w,&vl
jwrn
Vhew F7ri
1i!R510 1 CK# 6go 601
5 . 00
G4,rner ]A 5o43 2~
ID# Be ver l r~ G reirter
1 0 /u/01 ~aoo Tr Hwy 1) tog as . oo
CK#
rlCirhLJeC~ ~ 5(~l°~
ID# M,arJor Grove,,
la0-1 Is lh street t~
(o~5~al CK#
G fa.d ..6 rook V 5b (c 35
SUB-TOTAL
$ Lf45 OZ)
TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page 7 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Forn- SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)

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


O CHECK THIS BOX IF
AMENDING FORM

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

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT q IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
IWOL
144 /of CK# ~iv'n ~~ 1 $ oZS .00
ru~n ~ 50(o 3a -9578
ID# word Yr 4l ndOrf
338 0 130D , StreC'
to[ 5/01 CK# a~
GIaA lof-m k -$ svcp 3 s
ID# Do f6 ffA SS MA V^
l0 q to I CK# yeo Nu'tu sfireet 5D
r tr 1A 5v(0 S
ID#
SGlel ~eetn
CK# ~ G (v -7 F Ave wue- 30 .oo
Co ( u.d b roo k T~ SO(D 3 S
ID#
j~e IoCC.ca ~e~e~
(,0 14 /01 co (' 10 Ir Ross Stree4 30 -Ce)
~Qk 5a34A
ID# qkomo S 9-6 Len
3ai 4-q N sfi-cef1M .00
I1 ) a(P(0I CK#
es 'n >rs 'M 5-03 t.A
ID#
12H°"d`a klein
ID1~'(ol co 3vI l tvo$ sieLt as, coo
aA loroo TP. Sblo'3S
ID# Ervwk hNer
1ljac.jo I cK# 313q (- pwe'ut.v d S~
o I eCLO 711 S a3 4'a"
ID#
1-c PCA h
10 1, D 1 I 4o
12 Styut- a5- I~ t/
CK# aG 49
rM e r 1~ 501075
ID# IRickard WldtbroLnd
IO1 SIO( 21-jet Docks. Drive. IS
CK#
G otrwiv- Ilk SO(o3a
SUB-TOTAL
$ 35D
.00
TOTAL (if last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.). If surname of contributor is the same as candidate, but there is no Page IS of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev . 06197) I RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Rog " W~~
9)aslo I CK# 1309 Over look Dries $ 30,0D tl

lima, JA saa39
I D#
I LGtYA
1
10 -1 /0 CK# a-7-101 F a5 .00 ,/
rad JA 50100I
ID#
Geor3e Hpp1Der

Lo(~~DI CK# P0 aox ?a3 ~5.6)o t/


grad 1A 5bl0al-D'la3
ID#
Atusfan
y
10/1)01 CK# 4{101, WA 6ta" Lane ao A,/
es oin" 50310
In ocud
I D#

iO l ot ]0I CK# ao1 ~~, WqA aS6)v i/


tAiriA. h 5 -91 1 01
ID#
/hom Des
31 ,10, CK# ? -701 Aar6AcAA 1;
1Nd .
1 1]0 . 00
Olive ~ 5D3A 5 - 1 3-7
ID# 1Zitrlaard I-dLca to .50n

1213 101 CK# Po 'o~c aa4 aS6)*OD


es 0; A-00 56)301-Oaa4
ID#
M.yr+IG Jcnsw
1 a0 t3 S~f .,/
101 ~ !a I CK# 1331 as . 6)v
1 'r 'c Id 7A 50 4-4p to
I D#
'pe-nn i 5 J>knsoVn
3(0 $1 13 Ayeln-"e- -3c> . 00
!o/' 101 CK#
G i Inn.0 A A 5a1d(P
ID# b ra Jvkns0n

10151,91 CK# 10 V 1 1100'5 s~fY',ee f.Z)(


. aS
G t ad 6roo k -24 3S ~°
SUB-TOTAL

TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See
of Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page 9
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

~t~1'1 tvt,( ~r
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
1D# ~ri an ~61tilrisDn
'811 10 CK#
I'~Os
adcl
Covert Sit
'JA 5(7003
$ 1W-0

ID# ?, ,To ~t rt S ruA


/01 CK# PC) Sox 130 ! co -00
Co V% rte 1A SO a 1
1D#
l l /~ g'ol 30 9 Hawk 50 .00
Coorcad T4
CK#
Sb(oaI
ID# &,601n Illeller
$o~L l9
(0f 7101 CK# 401 $roadW" 30 .00
Nlorri son S 5 Oi'o 5'1
ID# Ke,11035
,lavle-I
C. lave "er
10 IS; 101 CK# 3 (o 3 N d5. cc V,
r&o^iour -:M snl`73
ID# Kem~
"3C He
0 1/*1 4 /01 CK# 631 Park ~N 10 5 3f~
!501
I D#
~r ~
al24to1 Str41V
CK# aS,Op
'JA s0(135
ID#
040-
121 -510( CK# 411 I±oU~sfi S~~C'"Ir
'D e c 'rtes __D~ 50 309
1D# 4 6
l /30/01 CK# PC 509 (6 48 aS .~
C,ov , v'a.d TA 5b(oal
ID#
ton K, l t e.~en.5feih
.-
L L l+ l01 CK# 7 O( R ~'' S-r rct } S0 . O~
ru Ce.~ !A Sol0 3 8 1 _j
SUB-TOTAL

TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page /0 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)

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


0 CHECK THIS BOX IF
AMENDING FORM

~~.t..-fin -~vr S

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

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# C . KnPP
11Ji lliatnn
'Wts-FawA Pkwy Su.i k. loo
11 ab
lo( CK# 5000 $ ( ODO .oo
1tJcs+ -Des Mo; 1.h a (o (o
I D#

G' ~5 or CK#
~618a3on Sfircef
as'°°
eiv,6oeck . 050 ,11.9
I D#

l0 Iq !01 CK# q lSl G Ave-'1 "9- ;?.S ' W


G LOA 10rcok Z~ 50(o 35
ID#
"L-)b,Vtd Kocs~r-r
10(5/0( CK# 513 (nS S- ree_~ a5. 00
G tc4orook 1$ 50(035
ID#
4o.rol d Does fe-r
(olyjol CK# go 13o)L 339 30 .E
(o (CA 10 reolk T}k Sb(o 3 57
ID#
RarGi'a Kocs Fer
I a~S~dl CK# l-[3q Nwy T47 X5 .00
C, 66 brook -17~ 564P35'
I D#
Chive KcX)6S
15bo Ca.ri fe lot ry CG rc (~
CK# .~S,o0
Gru, Cet,fer ~R 5b (038
ID#
SL,e Rcs~er
R~a5ID) CK# to't's' a.oo'n- Strf,6
C.,( 6oY o - A 5d(03 5'
I D# -,-~,~_~~ GIr~ r1nFLY'
l i
5 ~~~s~
O [5 101 C K# a50a as .oo
9; 5bc'x~`j
ID#
h krt ~~~
33~ 't-
~l a~10~ CK# ,Sot
o75.Q .'
ins TA, 5aaoro
SUB-TOTAL

TOTAL (if last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by / '
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Forrr SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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

CAUTION: Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

y
tA lo i che k
~ & ,~4 e $ as, 00
t~ (!f01 ID #
IA.jV_5i.JIn M 5 aa0R -Day
ID#
-De nYIis KLCCefret

1o f -7O1 CK# ao( A street Pg. GO


raer ~A 50("79
ID#
-Fe- ry ti
1n /
f4/01 CK# 1 c,37 I~- S4m,4
G ladlo r'oo k 3 5alc 35
ID# >Mid LAMb .u-f1
1 0 14( 0 1 Po Po ;( 300
CK#
An ken 1A 500a 1- ?045
SO . op t/

ID# ~aKicy tar S e v1


/a cK# `1t InJas t~.ing tcn
Sirce-E
:rA 504P35
Gta.d (or~k
ID# ~
;IaP LaY5ey1
cK# ~ 3a 7 I-fwy rtss a S OD
C (C, brook JA 50&3.S
ID# uaKC~ LadA I .er hack
,~
° /?/o t CK# 1517 t aol~l SIt" 61 vo
rook 71A SZ 0 3S a 50 ,
ID#
Lei
~n. Sfi-e
(o1~ of CK# 316-3 ~ ef 30-o0
+kiv%s TA 5aao(p
ID#
13ob ,Les-Fer
lll12~01 CK# 1 aZQ ~I'b~
r.~ttar,oca IN 5Ota5
I D# J',« N IriVi n9 5 fb 1'1

l°1 1 /01 CK# PC BcX cWU IOo


Gtadbrook 1~ 5D635
SUB-TOTAL
$ ?30.oo'
TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no _
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev. 06/97) I RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

~ot'

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

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
-
ID# tAA~ S
$ 5e), pp
(,i tca
~t.frl,rl o n

to j~-afof CK# 330 3 E univw-$

(7es (No~nes TA 5031 -1


ID#
U~y ~L
)0jto ICt CK# 313 `tom
Glad brook 5D (0 35
I D#
fat-tiara I,ue-I~y~
(o 11 /01
CK# ~~
Clad broo k
S-t~~
ZA S~ 35
~s, ~ t/
I D#
100 BO ~L ~?a S
l ( ;Oof CK# 50 . d0
Corm 1 5b
ID#
N~a,r k.
/014/61 CK# l a ao I er 6 as. cx) ,/'
G t0A to roo :R\ GUO 3 S
ID# 1)arwln Ly hC~'1
to/l/01 5(l 1Ztcka~-d (,~~e aS,c~
CK#
oaf s l~ ( ~ fioUwt ~ SD 158
1D#
~e~ ~"ch
PO 130 l, S t S as .00
(0 15 0l cK#
cc v+ra+.d D\ sb~al
ID# L~oh
G, tae
K r4ve n.u~
( C) 1 -7101 CK# a2(o a t 56 .vo
U sa3ua
1D# Le ov%
~ti~55e 11
12 too( CK# Ak~ rY~ 0 5 . 00

1161 ZZ(4 JA 15 a34a


ID#
Eewiin Maas
jo/l/01 CK# 100 Box tai co
Ca lad. to rcok 114 St t 35 -
SUB-TOTAL

TOTAL (if last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Forr SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 06197) I RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
P0~.. +1111 Cr1.J1
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LISTTHE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

f
1D# Ci r-ALi WA-4 k
204 Wylk1aKd Acres Rd t/
la~ 01 CK# $ aS.00
ars ka 1-owN ]A 50158 -
ID#
1111erliri bratf'
o (2&1D1 CK# v 15 ~~ Atrenue a S6, o0
Grivtvicil IA 5oila- 1104
ID# )Aarold IM&,nders
9l13101 CK# PC '60Y. 3 50* 00
l.a Cen~'er "1. 500(P3
1D#
Sue /Vla.r ht^s '3
glaf 01 CK# t;L01 Fairw°t Dave. 1 ot7' co V
Mars(.xA iI to Loo TA 96158
ID#
Judy fUia,rfeP%6
ClIa 4/01 CK# 131o t-fw y T41
( a.d rta0 k IN SD h 3 5
b
I°# Be.r rn i e Mas kQr
101t 1 CK# PO $10-i 340 5v . oo
Co n wad 50(o a f
I°#
:~1'ck
1 M~ Crce 1
10 .501 CK# 1513 190 - ~ We' ' eZ50O
Gl 6rook 1A Sb(I,3S
ID#
ea 1_~ ~, & (0 1o ;rn
I ~la41a CK# .)48 a.FlO r'-' Street _
a 33 30 .00
A&A-A V_ (d SolS& -15
/ 1D#
7ebM Nt5 ~v~av~
lol~010( 1 ,x7 j 13ol-b Sfm of 3S-
CK# a 5 . On
G tazl la r k- Zfi Solo
I D# fVkS
'DOwid X1eC k n l''e,
-11101 CK# -31 - 75 714'k Sire t S(~ . Do
+ Liv, s 5 aaob - 9 7 3
SUB-TOTAL

TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .). If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

S e.~~-v
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# (.A,rr~ INAf-Wb~
I oI `~1D1 cK#
I 'p -Pohr-+-'t'sor, ~Driv~
$ aStX~
Ma.rs6l14nwA ZA SOlSg -
ID#
HaroLek M~ K .ivtlnet
~la5~01 CK# zoX 4 a~ .0a
G Lad (orpo k 5b (0 35

1~ / CK# 3033 c~ Ay-hue, a5, ~/


In rad JA SDIPal
ID#
ID1`ck ~G fit"ILIh
I
lo b/01 CK# ',oct N wi 16M a s. o~ 1/
D6 6a3~+a
I D# M,A,riovj Ki Uer
lot(. /o f CK# to 4 > +W~- q lo . 00 V/
6 (act 10rWK 5Z)1035
-3re .ff 1vt; llerstream
ID#

! o " 'ol CK# 1ao-7 Oo7~' a s, co


G(oAlordk JA SOCP35
ID#
t1&Tke VInC Al -Ir
.W 1
1 as 3 u. iA nA4,P,
l0 ~`~'D 1 CK# aS .OO f
' ~~ TA 5oro I a
ID# 'D(CZKf_ MLA 'fc~dl

1014101 CK# 11 a -7 -r Ave- a, s "


T3t,t dk~reham 1. Sa(o 17,
w/ I D# fp&t " n
IJA.I'' bA. fA
ID I t Id I CK# ao I aS .oo (/
Pp 3talc
err: 1:A 3
I D#
I ~C I - e -0e V,
I Aa4 Avev%ue-
CK# 55Fsq
Vi n 1A s a 3 4q
SUB-TOTAL

TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by I
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Forrr SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ,
-Dar 1 e0e Movlroe,
q
la 4l0 l PO '130 1,1 4-7 4- $
IQ S-1 00
'D sar-f EA .Saaa~
CK#

ID# Joe Morris


CK#
''FO a 5 P
, S*;ee-4 cZ S p0
Inter '2A .SO(,_7S
ID# Bnje murFrd.
lO l&/ l CK# 19r9 Js
/-~ ~e, a s av
Treter TA Sjo 7 S
ID# S*eve Mue fW
a~as/1 CK# 1q-5s ~t (p aS-oo V
G(&Abrook 27b Solo 35
ID#
Eimtr ANtASSI

adW- ok Sblo35
ID#
1Jiawe #KU ssiciy
of CK# 114`' Owl 9(o LO .OO
G ("4roo e- Sblo 35
ID# &4;,t A9pv5
t~ll'olol CK# .244 K Ave"e. as. Oo I/
{L!YlAyl T k SV (oOg- SSq
ID#
tort,f A/Wrolf-
,~,
tol t lol 3c)5 S I2 Tbk SIVWe*t .J[r~ . oD
CK#
rs dal w 1l 5b1S8
ID# I~D6U+- N4lsem
10/(0 to l PO Sox 40 ,S0 . M
CK#
Garw ;M :TA 5"b(, 3v2
I D# M&r9 o re,f Okr f"
aJ
r''. pp
lalr l01 CK# 54'1 b Shte -~
.? 4O 1
Wi :,r,e.c.~ 50 &9- 310 a
SUB-TOTAL

TOTAL (if last page of this schedule)

" Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

e u ~r Se -~

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

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# Cikvii 0hr /
1
(0 1 /01 CK# as 00
R 11becl(, 501PO-~asa
b/ol I D#
~Dlune Oka"es
l 0l cK# 411 TohI-$ fv+ 130 . 31 ~ , 00 I/
Glad _-" , k --M 5b 35-b 31
ID# ci Av/ts pverforn
140 NW a9 th Stree4
~-~ 31 l o I cK# aS() . 0l7
An -JA 5boa 1
ID# 'Ttm pp,r~vt

to~ . ~lo CK# 5565' y 451 '' Std 100.00


Wcst es irc-s 1A 50a&S " 3ssi
I D# "Iloe
(Ol1lo1 3a4NAJE Driw
. J
t^p , OD
CK#
F~nK 'DR s0o a 1
ID#
James " P,01ef?'
10/7/0' CK# 53949 Buck Creek d I
no a0
,
.

_Afianh& 5(xAa
1A
ID# BecW Pe-+ErSor%
u
1Dhflo loo sla~ckk~owk Strref
CK# o?
'Wn6"jc
ein TA MPG!
I D# -
&r
3D . ~O t~
tof f CK# 1 R0 3 ~a
LOA moo. k IA Sb 3
ID#
I~ Pi e10Qr
I ae~ . 05 ib S*eCf'
101 yl0! CK# /00. M
Gfadbr~k 7~ so~3s
I D#

12' 3 1 01 CK# 9&, rrp Sfreef as.cav


r 0 JDl.3$-I~7
SUB-TOTAL

TOTAL (if last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page I of
familial relationship, enter "not applicable" in the relationship column . (le
for Schedu A)
Disclosure
t7any
f``~
fInstructions,
(qlp(
13101
CANDIDATES
relationship,
commercial
y-l0,
/AND
(See
vRelationship
law
Section
BOARD
(THE
Page
requires
NAME
PAC
candidate's
D#
D#
2purpose
enter
68B
ofNOTE
CHECK
See
candidate
must
--(Must
forms
applicable)
"not
PAC
IDMONEY
Back
beby
NUMBER
IFpacket
NUMBER
applicable"
personal
CHECK
be
shown
Aany
committees
CONTRIBUTION
Iowa
same
ofperson
TAKEN
toINIfForm
funds)
Code,
the
THE
surname
inasthe
third
toother
on
a,4
DESIGNATED
o~~
prohibits
disclose
-kael
IN
relationship
Statement
degree
ISofISu
RECEIVED
than
l4r*kur
Nlo
1contributor
NW
APpert
hRt6r^urps4m
the
ofream
the
statutory
SeA~e_,
AND
Ra+hjeh
Xe4
consanguinity
COLUMN
relationship
VT~
column
JA
use
lRdt
ofFROM
cADDRESS
M0
Organization)
IA'
isSt
of
se4-
11'A
political
the
500101
-Dr
stn
S9,
AASTATE
information
50(06A
ofLIST
same
(blood
Box
any
50313
13ov
OF
3committees
OFas
relative
TA
PAC
3CONTRIBUTOR
relatives)
ID~
candidate,
copied
NUMBERS
(POLITICAL
I(pmaking
from
and
(ifbut
ISaffinity
last
aACTION
AVAILABLE
reports
contribution
there
page
(relatives
isCOMMITTEE),
and
no
ofFROM
tothis
statements
the
byCANDIDATE*
applicable)
THE
schedule)
LIST
IOWATHEETHICS
for soliciting
06/97)IDENTIFICATION
PAC AND
I Schedule
contributions
MONETARY
00
CAMPAIGN
THIS
0
OD0FORM
BOX
A) IForIF FOR

For SCHEDULE
A
CONTRIBUTIONS
(Rev . RECEIPTS
(Including
CHECK
COMMITTEE AMENDING
Rj-I-n 4)r
STATE :
NUMBER .
DISCLOSURE .

CAUTION : .32A(6),
for .

DATE PAC NAME RELATIONSHIP AMOUNT J


RECEIVED (if TO RECEIVED FUND-
(MM/DD/YR) AND (if RAISER
NUMBER INCOME
ID# Elk
~+IY' . $
CK# .7_5 .60
IS Lr b . k 1A 5(0 35
I
~$ P'P~ae'`~`
1ot(~aw~ C. . ab
CoLd ~. 56 ~ 35
ID#
jY1QrGl'a plef~
q1; qfo ~ CK# 1445 AW bo+f Avenue, 30 .00
ollt. 5b(p 35
ID# MQrie PIUISt,
J11e2(I jo~ 4W MgC/e l laki St . st s Sb .Ob
CK#
T"a ma -M ;q
59,339-9,3
ID# Rolb Lrt r
t9ak
1
a l5f
01 CK#
a o ~h c .olrmy R'AacTrive, 560.00
Wf_Sf DLS ;VXA4 SOa S
I 10-r k. Pal-"I'Yt C~ - .of-her
(0 `~10 1 (000 Sfe.+~ rnsns horfJrivl_ Suw+ C.11 3 ~ ltx~o . o0
CK#
rDa f9, Durie.s SD slc)49
ID#
JM,i
10 i .u,G 3o . ~/
CK#
waOta ;
ID# .G~.
J0
110 .Krist . d5
I1 CK#
ucal
ID# jamcs
a~ X9,5 ~S"D,
CK# "Des
;ne
ID# Tu4k
1 -T~IbWaO giro
CK# 1319 gyp . ov
'r
SUB-TOTAL

TOTAL
*
committee .
marriage) .). Page of
familial . (for
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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

CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
J~ lip Ra ~-en
31 10 CK# 1319 jiloro s Dr~ve $ 100 .00
TcA5a33q -leas
ID# (
;erakA k&u.vv%

Glad 6M0 L J
---A _Z (0
ID#
Mitlrat I jzt&9 e,#n

cK# 508 ~ts'~ (00 . 00


We f Des rUlor'hna _5D4

Y" we
? (o5

Xe iK brcd q
ID#

L') (4/01 CK# Po t60X 5( a5 Ol)


T ;.r Sa3M
/Ot ID#
Li s a ~e in ~'d
CK# 190 80X R3 30-06
G Lat! 6VW Gk- ]A 5_0 (P 39

ID# tS
6e
l0l 3a/o l 30 , 3- RI~ w s . 00 t/
cK#
"
t fvw LA 5 voo9
ID#
~O alv, ne t;c,k r-
Awnue_
CK# (1 -78 P C)
Rla1
q1
0 b(o-7
'rraer 1
ID#
I,i~ .dt0~ IZiekert
Rlaq/or CK# +"fog Btackkaw k 9me4 ?s, OD
'v, tzlt :~A a0 !c (cq
ID#
ilJi I l i ar, -? .,Ikew
TVto WP%°K beak Pkwtn S~
l a~3tto ( CK# 15 .)1 F . 5~0 . a o
I e 1~ ?- 95 aS5
ID# S+efVn.GK j.ob-e443
10i`{/ol CK# .4to Wale
4 ~S. vo
045 Mtiv,w -1A 503,cy- 3993
SUB-TOTAL

TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (Seeof Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page ~~
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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

CAUTION: Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
'1laZ4/01 CK# a3010 Ac-ac~+a Cowry co t/
ari to --M 5 a 3 0
I D# elrn .o- I[.p s.e t A rd
l 0~410 l CK# X013 350-' S -ireer a S, Oc~
G TK Sb 10
ID#
rler e fwd"
0 51/0 CK# 1805- a so ~' S'h'eet a5, o0
Toledo JA 5 ~34-0~
ID# ' h4wi Ja Row-,r
410 Wv-sf,-'rjtav% aS o~
1014l CK#
te G 1" to t2ak. TA 3b6 3 S
ID#
RickarA -P-0wy-
t CK# 314 5U6 sfi-ed as,oa
G (ud A:~ :TA 5-0635
ID#
Jp Ftiluc SAS A
!ro l~f~o ( CK# ( °t Ff to .1~ Ae Yl ue a.5 " 0o t,/
rr r ~4 Io~S
ID#
5-
Grace
CK# '?01 sS?rce 57 , co
k ~ Sab 35 ~
ID#
L .G . Sckge P erle"
;.(T7 Wc .ks -D r;ve- 'AS, 00
1011 /0) CK#
Gav-wiv, 5v(P3 a
ID#
I~ah Sc ki ldro 04-
10 710) CK# j4("58 0 p-venut. a0. 00 V-'
r Ce kJer Ili SD $
ID#

Ila5101 Po (Sox .1105 ~5" DD


CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

` Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (Seeof Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no 0
Page `?
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A I MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

;r S-e ~

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

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 13e H~ Sc.hm.i'd~
40q, j6hVx4A fBox 1a.3 $ 3Q. DO
1 ~~ f V I CK#
G(.aci 6twk
ID#
narold SchAik(
lD~la~o~ CK# 1148 1Sob Sired C~ S .O0
Gad 6 rok- 5D635
ID#
William S~_~~neider
CK# I a0c( G a5- CD
Glad rook- TA 5V(0 35
ID#

a
SC.kv1Cider
N'W, T4'7
l~llolol CK# 1 o't 5 . D i3
R4AIo etk IA 50io(V 9
I D#
Naytyle Sc,Ltoe)
JAI 3 fo CK# 30 ~nl~s f sfizef
G to ° k- 1~R, 50 t0 35
ID# Ver»w. Schseder
~]ry0,Z 1 14D, Ave- Drive
R/o1S~10~ CK#
u e,rne TA 5 aa$'7
ID# &,hry ver
Ter~
10 1 1 (O l Po 13c x R t st7 " OO 2/
CK#
CcHv-ad LA Sb al
ID#
Don xANt;hoort
l 1 h-x !01 aIo5 X A utiu .e. 50 . vo 1/'
CK#
'D sari 5 aaay- 5S8g
ID# ad wu ~'
r"'~13~ j3C{c~r1W000~ l...DU, r~' . 00
10 /t9 l0 ( CK#
Des i ve.o d 13"k 503A,;?
ID#
St,
12- AA Avenue. S: OD
141/01 CK#
Gta_! brook Tk 50635
SUB-TOTAL

TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Forn- SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE"` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# iDenl se Schwa b
b) la 7~ CK# 1 O$ -S 7A'-'4
_DriV?r
$ SQ. Do I/
3e !)e PGaine 441 5_1a08_ V z33
I D#
1~.iC r aYcl ,,~e_cor
of CK# 114 (00 RaMfro 'Sfi-'Cefhef tiC4-J
rrA h.a N C 8 135
ID#
Ge he SSA
I 10 JO (DI C K#
16 ;0 Ir Ave YLf4 e" as.m
G lad lor* k- '_11A sb~ 3s
ID# ~aHn $kat%A
to/5-/D1 CK# 409 Zcwa ,S t as . ot7 I/
I~txr ZA 5na ;Lo
ID#
Marleoe S(AarP
1 0 / 4 /0) CK# I O F~~ VrW -T+ -'1 3o-0o tJ

e,ir~bcck , 5bto409
ID# SkA rovv sko"Se.
14 3 I-7a Sfyte+ ao . oo
11 tofvi CK#
rook. ~ SDIo 35
I D# JC CVU" S
~~eLa
S~-tef
01 CK# a3 Go'~ a S . pp
l
Ca b~i< Sv & 3s
ID#
-Tar-kit G kA [A
13- j 5" C5D
1 CK# t lo I 0 9 -S
5 a 3 37
e4
I D#
S kov9 ati
u 5

10151o) CK# 44A1 1' r i n le- wo0& t! O(~Od


yc ine5 ~ 5 v3 to
ID# 5to-fer
!D (
h/0 1 it urtve.rsf 4~ Sb .op
CK# 33v3
~1 e.s Mo' ~D% SZ) 31-7
SUB-TOTAL

TOTAL (if last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page C~,'? of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Forrr SCHEDULE
CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY
(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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

CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# )40ne +k ,5tor 'Dko,NN
q~a~~o1 wars f s~-~f $
CK# ~~I So .oo
- lain Irc~ IA %&(.
ID#
Me Ivti't Sfi-" fo
j 2lw~1 CK# tot Plea san+o'ew Drivcr Do. co
?c s MP' 7A 5D,3 1,5
I D#
Khm -nefh StrVA loehn
1 0 1 1 /01 CK# a007 F PWr_
,' Itiue,
G to roa ice- 11A 6-01,035,
ID# Sucav% 3w strop behn
I b I q/ol CK# Ia3 8 IrfWT 9l, aS .OD
G lad. woDlG sat, 3s-
ID#
IZo na (d .Siu+sw~a.v%
12-14/01 C K# PO ?"00'A Q 100-00
'tls J~A Sad3s
ID# Vor i s Tc ssaw
0 Iq CK# I asq tom- +? a5, oz) I/
/0 1
Gad (o k Yg, 3
ID# -
Joa ~
-D"" -Drive. S i 5f-et''
10/ 1/01 CK# I 100-00 t/
Lli c. l I» W C-- (P2'56
ID#
on~o
It 1'glDl VtSh'hr~L~a~ 3~~ 00
CK#
6 (ad ray JA SU35
ID# ,,lent -1111,C9,501
to/t~la~ CK# ;54+ 3aot- 5-hee+ Sa , +/
tea 1 A ;t 2.1,5
ID# S+1th --1'y,o~a~son
55 .13 CsranG~ N .LIG
%, t,/or CK#
eS M.o;K C's 1A 5d 31 a
SUB-TOTAL

TOTAL (if lastpage of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .). If surname of contributor is the same as candidate, but there is no Page .2 3 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

T-Vt -tDr s
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
enti~fDrl

Gol to I CK# l°t5


HwL .- -Y4' as . od
W caYovk. IA
ID# Ittilari lyvt 7how-S
1 orSlv1 CK# 1774 14.6-0- -S-I--1& as. 0o
G d croak- JA SZ-43S
ID# M4 r k 'f'n,(esde II
3a t wa l v-- S u.i te.- P-oo
/0 ~ CK# IN& . CO. 00
ea VL?A 1~
ID#
LOui se- WCk
ro
13evL A33
a.l/ojo j CK#
Gladb"M~- to SbL 3
0~500

ID#
r,201.U I Vaa5elo
ioJt '5~1 CK# 'l .L 4'7 '5+. 1Des ~rai ri e j2tao~'
u la ue 5 3
ID#
l ~c S vak h
l l l Zow~ CK# Srtm+ vv ,,

c6- Moiv ku 5-631a


ID#
4rtr, vt:101f-
w-oo l/
/0/1 /0) CK# Po 13~ 9 t'
ebba'
ID#
La rr V,G S' I-

144P L. 14vcllule, 20 . OD
0
,' CK#
A)
'`rae r :D4 5 vlo~~
ID#
Vv 6-s
C1c# 3c ;t -;0 Ave $Q. B&A 1 34- 10-00
! ~ l w /o!
s 5 ;~2v
ID#
~a VafYt 60 W
q/2u/oj CK# (o & saker 5+rvt1 -30 , 00 l/
. .
SUB-TOTAL
$3 .oo
TOTAL (if last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.). If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

QuAnty ~r

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

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOM E
ID# iM&r0y s wcq OW
for cK# I X415 1 qoW 51n& 1 5-0. co ,/
r; e. 1A 5-06
ID#
imag UA.tde I
Itflagl~,l CK# 5 Nw j ctto 30 .00
G (ad roo SD 3
ID#
Melissa W01nf ai.e n
~0 l CK# tolf as 4 1 _ S*ee?
)_ /J S- 00
G6 Ivr, k. SLR 3 5^
ID#

b/'/
6- rvt WGs4
to ?o &x & y aS pv
35
CK#
b,m _ Z SD(o
ID#
Gehe tv~eser

nr_; SS'
ID# Nlu ruA W e5-c-.
1015101 CK# 10 spr;^3 5-rrcet' C?5 0
. Salo 35
C 1114
adlorool -c- J"~
ID# W1150111
l1111 ~~l oI CK# ~o BOX (o (O~' 100,00
Sbm a1
1D#
~/
of CK# 915& Al Ave_"--#
101(fl Frae4, JA ,0 7S
I D#
n
of CK# Igp94a 3SP~S-h-t
Il
l leader 7A S ao 3
ID#
Barb Woe,bbe k+'
10/ -1/01 CK# 13ab E &e n.u .~ a S, ov
..fir. Sup 3S
SUB-TOTAL

TOTAL (if last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTE W
NAME (Must be 4,
same as on State ent of Organization) AMENDING FORM

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

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D# Wood
Ito +!,tre 130 a~~ as. oo
CK#
Glad ti k
10!5101
sV& 3s
ID#

t w 1.10 5~-~'et a ~. 06
I nllly 01
~1~. rJirDOFL 3~ sD~ 3 s
CK#

a
ID#

to/l/01 CK# 3 a. . P 0. br;ve-


0~5 CO

( 0' -7/01 CK# No ~3px 3 Sa as 00


G la.dibrl~k- ?l~ Sbi!o 35
ID#

In /"7 l0 1 CK# u.ru'f"K~ - ~- -- as, oo


ID#
l00 Vcere
9113101 101010 Grate Amrwe St,~f~ l-ro'7 sm- v o
cK#1
S3 "Des ku D~ 5V3o4- asa 7
9/~4/0l ID# 6,004 RG G
cK# o &z 7 S? o~~*D
3g11 Ves Ai&co JA 5-16 3
('0 10 1 e~ ftssoc-ia_fi~
q1'a9lal ~~floX~r(0 t a o?SO*L~
cK#
o~ 13'1 Te s Moirt,w Tk 50301
ID# Iowa 5DG> GLP A'"SSC.nG~Gi.
(~oG3
~nl4l0l Sos ~~~ s~..~ 333 loo . o0
CK# jq5 a
s II~~a e.A ~ s-v X09- a3?

al~, v( ' ~.S' LYE


CK# ~X U
G (. I'Oo6L -I-al, 3S
SUB-TOTAL

TOTAL (if last page of this schedule)

* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .). If surname of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Forn- SCHEDULE

Mr r
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
AME (Must be same as on Statement of Organization) AMENDING FORM

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

CAUTION : Section 68B .32A(6), Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 1 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-

0
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#

i(~ /

I D# .lr ~'VI Ct (r~ Yt .


sy1~ 3 a ..~r Plac -
CK#
Pt i'r T~ ~aaC%
I D#

CK#

I D#

CK#

I D#

CK#

I D#

CK#

I D#

CK#

I D#

C K#

I D#

CK#

I D#

CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no Page Cl r of c7`
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev . 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 0 CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

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

Tk4leq ~(_
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
.
1D#  n Sa 425 6anK
0' L0 F

Iet,,,~~e4 V1 66`x'-0159
Coh vad Ucorn
SU.hscripfion
I D#
1k X- (q D
~1 01
101
CK#
PO a,5', (.o
looI CarraA -M 56(Qal
ID# 'Traer- .SFar Ct ;erar i bon
~~ 1o Iol P ~y 15( 3 3 . 0o
CK# 100-a
i
''(raer a 50b15
1D# }-tx 2
1i5
~ e1'
Gay
`10101
CK# ~o IJ01~ a 14s 5u sc riPfi aq, 00
1 C>0 3 Gr whk Cc fer A 506 3
ID#
'raw,a to . &bw~ S~~SGrI~'TLv'I
? ola P0 13oX 118 4,~ , oo
b CK#
Icw'~ 5~.33q
w~.a
ID# 1~, y5ar-f ~~ fGl'
S' to 01 ~n T3o~ ~° ~i.t~ SLrI p~t~ 3 3- bC~
CK#
/ba 5 'p sar+ 111 5 a~a~l
I D#
~i5't5
1)(",my 'Draw _Dn Vo ~-cr
~6 to Oi ?)3a ~
CK#
l cwt Pho~nt ~ A~ $ 5bao
I D# CtAa r V4 tl 'Do .i (.y Times
J Sh,P~ri
13,lg0l go &-` 46% F9 . v v
CK# loo -7
vln fi~,r, 'A 52344-bq0
SUB-TOTAL $ G g~
#17
TOTAL (if last 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 persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56.6(3)(i).)

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev. 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 0 CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

?k4-m ,e,,~
CANDIDATE
;7r Set~t~
NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# Rein (,w k- Cotl rl'.er
fa Sox 0 SuhSc 33-00
glio%I CK#
/008 RdKb~k 1~ 5v(~t~9 $
ID# V*Aa.r o P"W4'skj^r
Ito 10( CK# P0 ~~ a08 St.~ hS~IP ~''` 7o~, Ov
1Cb0 9 J_A 3a3o1- DaDB
ID# e (,tniaO
ac ll~ Ptaiw Suhsc-r;? h
$11 D1ci CK# iPo (~0X , aot ay. . 00
/Cx D 3c,(le 5Aa08
PkA~Ae- JA
I D# SoutG I' e. n Sam- Pry ss
S u ~ s c r ~P~'~
8l4o CK# ~o 13ox aO 8 a r;-I , p0
!Ol i tae fla P(ain .elA 5408
ID# I-C&y1 fesiAGl
$'15 ki CK# IL.aq C Ave"11- 5"fPlies 5- J . IS
JQl Glad4rvok- TA SbtP 3S'
ID#
~, IS~o I I (o~ C Pfertcut-r os a tnn-+s ~ (Q $ . Ov
CK#
iat 3 G tai loank1p Sbb 35
I D# '
w es . . 3 ~ ~? . vo
S l a ~.t<o1 CK# L a~ r- ~~
I (, ~.
/a14 (, a.d brca~.1'1.4 p cp 3
ID# Lepy,~ ~t5~rta+
- ~ Pps °~ ~ . qv
8,a41o1 CK# t~ au C
10/5 G lad (off X14 50!035
SUB-TOTAL $
b/SS
TOTAL (if last 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 persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i).)

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev . 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE E] CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

P ci pe-(j
CANDIDATE
r
NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
JD* (,GA~h J "tG IKA
g l3010( A
CK# ,
1(Dcf ~Ld6we k- A s_o& 3s $ ~~ .

'oo E Paxo'd~
ID#
8'3r/01 cpnSU . oO
CK# t
Ib l 7
ID#

CK# w~ C_ C* vv
~o J 8 .soc~ .
G(~d Ivra~l~ .Z7~
ID# L.tyGolk Saves VAI&
aj5/o~ E S,rVI i~ J. .sue
CK#
-Rel4Gcl,- IA , 5fofo9-o159
ID# swanso ) + Foerei f PG _ ,

f'>< C K#
3 al jt) Wa<mAd S k,; fe PCn
DO
vl
10 .7-o es AWACS* 1A 5b 30 9
ID# LBirn JeS1
."`
1402q G
471A CK# g'
~ fad tir40l- ~ say 3S
/o ; l ~ 7S

ID# .Tt5/na

q11 CK*
10 ; 9 (ad to 5Z)&,3S_
1D#
sot"-ti, ,
P7~ c 3 `r`p . p0
as
q0101 loa3 ~Irtbec.~ ~ 5d1~b4-ols~
. SUB-TOTAL
t' ~ F Y' V{'"\ n e 1 C U (~ 1 C h 1'1 J730
CJ
TOTAL (if last page of this schedule) $
Z.

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 persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i) .)

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev . 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

?U . -/P ~r SenL~
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER

Si9 (P..r-
11151-
ID# priAfil

q ,2glot CK#
jI(3 NV" AWesferr,, &x 887
s-to(n
1 $
ID# Lemon T"inq
/!o .~ V V`lQYle =li'!T s'vccrse, e.,t,$ 4q, (4 off,
CK#
/0AS G a'd Lrook- 1% .Sa6 3s
ID#

a al' Dl a~c Ae~R- 3(00" o


cK# `0 G ~~
; 3S
ID#
ja Sav,
q l
30 of
° x 5er v«~e c6 f,sa
L9-ai!59
CK#
~e;,nlvec.Lc. IA SZ*
ID#
a~lre PWAZ uVdV'A
Po 5aJ to?
to a CK# Ad verhsi
/0;2 7 8eLle- Plai"'A 5a.2o4-6
I D# ~1or ¢Gt errt Su .h Ordh'~
.
lt7lll0! 4,23 a ~fiYeret
CK#
I 0 ;L c, Lad wrno IBC- -JA SO(o 35~
ID# ~' o,,ra~ t2-CGOrrl

to/l/o/ CK# 1c)o Pd vee


(U ;~ c! Cdh rao~ 14
ID# ~ Ce .K.tcr' e9~.s f~I'
to( ,101 pa ~~, a 4s Pot (PLO . 00
CK# 1030

SUB-TOTAL $

TOTAL (if last 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 persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(1) .)

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 09/97) I EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

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

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# C~ohk. Al l u 3 i Co.
Iliac &*'73 -tu fior Boo k S
1 01 1101 CK# w 3/ jta.(oerV1lle Z.+- (o0567
$ 353. SZ)

ID# C edar V40C14 D061 ~.


tI'_/Y40
16o1, 4c. ~(te r ~'15 I ~- 53. S57
CK# C3 ~ hb
U; ,bo T4 CR34r-y -0 ~
ID# Lie A"^ j-t$ lrAA 6~ ~P Suf P Ula ' rOS ~
l b~7la t & .2 k C Ave A."- lss.a3
CK# ~ e.~s s"~p t ca.o
033 6 lad roo k JA SUP 35
I D#

CK#
K~5SNet S3a 5 06. ors
(03~ Jyhr6 hall -aw~ TA 5468
ID# ~G AV) r 3GS tLw
SU,t Ua..O
CK# ;t4 C,
16 F to

to 35 c-, la.d bro,ILA _CZ b 35


ID# -gerkt0 G*C" P4rt aF 1awa ~
atq h(oar ma L(e i 000- DID
1019 fat CK# ~~ ( 6 fro ckot I "r
10 310 Des Nwo o la X '30')
I D# C, ( wd,~roak 'Fawn ly ~AQ,riC~
tola~o ~ ~G as X a 49 for 'ewe, 104'' ~ ~'
CK#
~U~"1 ~, f a,d,lorook ~ Sd fo 35
ID# P-flc- C&w..lo 4411
~la Pea i n e vl a'.) brrvc ~t~vlr~ GLkea Tar 3oo. ov
tOl (Z1~1 CK# to s 1~(0l ZA 5oa 66
3$ Ulesf
SUB-TOTAL I $ oZ ~qS"
TOTAL (if last 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 persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(1) .)

Page S of

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 09/97) I EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE Q CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

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


n
Zr
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDNR) AND PAC
CHECK
NUMBER

LCpwr ,fRfwiA

t (o
;)
t) C- )4v%& nuv
C K#
act C~ (&L! Lroo k *-4DA 5010 3,5
(0

At) V1 ~~sln.A
G PWeKA-f- fie lefGc+~e, 8, CD
CK# l4,X4 poi)
~ °1ri10
l0 40 G (o,4lorvav D% solve
I D# NOr+4cr1+ St4l, Prl'A+
PC) &x 3 qo S u bgr ;P 7/ 13ri--- 3300
-1/01 CK#
loq! G lad ~rcv k. -A 510 35
1D# .1aA ,
13&5
o~'~ice y34 .9(o
l%z/o t CK#
5
I " p5""a` e rhu `>`, C or+'~Pct7Pq^
!6 ~F Z G Cad 6oIk 1A 50 63.- l u.,f plitS
I D# hawk Re#,tol l
$laa

cK# 3 ?aq w. l50 StrzGf G53- ~


/o/2 46V
!dy 10D A 50 -70 .R
1D# /xq
S l,~p~o l~ ~e s
h fGf"
`L i'vc
4 C, A- Awc, 0
ro~z~~m cK# ~~
(o Glad dfook A .5& 35
I D#
Lf ^ J_Cr16,:P,_

I o~aylal CK#
~S. OD
rd~~ Glad brook U ,SPPS
1D# ~cs~ka.
Lep-n>~
llNO )
CK#
loy(v G fa k A 5~4 3s

SUB-TOTAL I$ I
q(00. 30
TOTAL (if last 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 persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(1) .)

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev . 09/97)
MONETARY
EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 0 CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# ~-
eo 13c ~s`l v, +bl.-7Om s
CK# $ 4 $ l. - 7 7
lvg7 4rloo TA 5aolo-0887
I D# D h VL0
. Coo 14
.e~

IM 8 W.orr' ;sor JA so(.,,s-7


I D# f

t lglol sue''' ' s a 3 P ~c:


CK#
lo yq
1D# UACc4rx ~un~C
,( l~IDJ CK#
1°0U)c

~el4eA U Sb46gt-ol
JC$i4A
f
ID#
Arc4
LQ-
C
ce scyfh'es
i'es '74,10
~° ho fvco
CK#
1030 GladlM k~sD~35
ID# As ptu4
IIlllo/ol CK# / toV E ao ~ Ccurt
'510 6unners S oZ
(0 ''
e-5 !o ; r.tv~ ~ 50 317
ID# 1-t PM h ,Tf.SIP%A

~ ~lll0l0~ 3c)(0 . O Q
CK#
1
105 0, lad. (ornok- X14 5blo~s
1D#
~~ ~a s ~ r tAPopes
Col CK# 01110160
lOS3 Gr C a' 1.% So1.3S
SUB-TOTAL $
l g q3. 3 7- -
TOTAL (if last 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 persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(1) .)

(for Schedule B)
rUK IIVJ I KUUIIUNJ, SL_L_ L$AC;K OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev. 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
0 CHECK THIS BOX IF
ETHICS & CAMPAIGN DISCLOSURE BOARD. AMENDING FORM

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

r
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
1D#
I ')a ')01 CK# 35(0 33a4 PlaCe rc4u-rn GIhec.k
lb5~ Of r 'IA 5oaap Y (e U 10 $ /co . 00
ID#
Ja.Ma. Co . Pork Pnd,u c.¢,w
1 lla llot CK# I a 30 (-1o 1h St. 1N~,2 ' lG1' f' lti e 800 . 00
l05~ ~W brvo k Imo . soto 35"
ID# LcAno Jesirto.
CK# .;I4 C Avtlt4te,
lt ;2. pv
to 5lr Gta.d brwk 115tib35 ~;-
ID# tAin i-ctiv'a

1451 ~
1D# -y AA~
I ~Z o t 04~ tZ o ~- rei rnbu rse.~

1D# 1_t~~n C~~


CK# I&Aq tNa 1 ~'!o, oZ~
!d(~~ 6 ( aI)1brv&La5bI~3S
ID# ;ijtt,- A-1'Afl, 0
1-71o 1 CK# pn ~o~ 8's~ I~xa sin es s c.a,rc1~ jo g. 9'0
l07~ I 1% 560 10
ID# ~an..~
lo~ ol ~aC Bflx ~~~ S-2lwlve L.
CK#
SUB-TOTAL
TOTAL (if last 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 persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 56.6(3)(i).)
01

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev . 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

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

PUA Ar- se-r~


CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# Unlit ryfGE
x c " 7 ,
ld o
CK# o l. SD
V Sl o4'Q'S~ $
ID# Lcxmn Jts%n&
c Averuuc, ras ,e y ~`e s~ 39 .00
CK#
l060a 14 p~ik _Z6 35'
1D#

CK#

1D#

CK#

1D#

CK#

ID#

CK#

I D#

CK#

1D#

CK#

SUB-TOTAL $

TOTAL (if last page of this schedule) $ 93


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 persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i) .)
Page

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM, SCHEDULE
D INCURRED
COMMITTEE NAME Must be same as on St tement of Organization) (Rev . 08/98)1 INDEBTEDNESS

LA'I-e,_1 CHECK THIS BOX


IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this FORM
Schedule, as well as any new obligations incurred in this period .

An "incurred debt" is a debt for


DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
received, but not paid for by the
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) end of the reporting period .,
regardless of whether an invoice
has been received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MM/DD/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD*

~a~tr ~cl~f'let~- $

( b g ~
Jvhr
- of 1315
.~
I6v e5~e,h 1.a ser Pr;.~l er ~4 7, ~ ~
TA 5_60S

hn .e "
~/51/01 13e5 Ilt~o 6 se r F~ 317 . qq
C;(adbM[, J
-14
2,b 6D(o 3

ill a 13(o5 IIP


Lad

SUB-TOTAL $

3 ~o 34, 0
TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

30q,~

Page of ~-
*If actual figure is unknown, show "estimated" beside the figure .
(for Schedule D)

CANDIDATE COMMITTEES NOTE :


the reporting period for future
*Incurred indebtedness also includes each person/entity with whom the candidate's committee has entered into a contract during or
or continuing performance . Enter the name of the consultant who provides or procures services for items such as advertising, fund-raising, polling, managing,
organizing services . Report on Schedu le G the nature of performance and the estimated performance reasonably expected of the consul tant .
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 06/97)I CONTRIBUTIONS

;r senate 0 CHECK THIS BOX IF


AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED ~ IF FOR


RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MM/DD/YR) OF CONTRIBUTOR ' (if applicable) CONTRIBUTION VALUE CONTRIBUTION

of 30 PL,_+y Mi feat
.
I / 1 31.. .5 14o1t, 1*1'et "usf ^ I q5. co
C~fad hroofe- TA SDto35 ce0lGr-r'

SUB-TOTAL

TOTAL (if last


page of this
schedule)

'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives
by marriage) . (See Page 2 of forms packet .) If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE

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


(Rev . 08/96) RECEIVED
& REPAID
~~ 5-0-- o, m.
NOTE : This schedule reports money loaned to the committee which is deposited in the committee account . CHECK THIS BOX IF
AMENDING FORM
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD $

PART I - MONETARY LOANS RECEIVED THIS REPORTING PERIOD PART II - MONETARY LOAN REPAYMENTS MADE THIS REPORTING PERIOD
(Original source of loan, such as a bank, must be shown if a third party is (Loans forgiven must be reported on Schedule E -- In-kind Contributions .)
involved. Include loans from candidate's personal funds.)
DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT DATE PAID NAME AND ADDRESS OF LENDER RELATIONSHIP :AMOUNT
RECEIVED (Include Endorser's Name, If Applicable) TO CANDIDATE OF LOAN (MM/DD/YR) (Include Endorser's Name, If Applicable) TO CANDIDATE* REPAID ]
(MM/DD/YR) (If Applicable*) (If A licable)
$
1040 Pvt~ltt~ $

( 3(r`S 11~0~ Stre~-~` - 00C. V0


`7/3 1
ks
John pu4n etiJ
3i 5 I(~D ' + I sfi"ee ` 5e
(SVlo3_5

TOTAL (PART/) C, , cc TOTAL CASH REPAYMENTS (PART ll) $

From Schedule E -- TOTAL LOANS FORGIVEN $

TOTAL OUTSTANDING LOANS END OF REPORT PERIOD $ 3 boo . no


*Disclosure law requires candidate committees to disclose the relationship of any relative
making a contribution to the committee . Relationship must be shown to the third degree of
consanguinity (blood relatives) and affinity (relatives by marriage) . (See Page 2 of forms
packet.) If surname of contributor is the same as candidate, but there is no familial
relationship, enter "not applicable" in the relationship column when it applies . Pag e of
(for Schedule F)
SCHEDULE
FOR INSTRUCTIONS, SEE BACK OF FORM
G BREAKDOWN
OF MONETARY
THIS FORM IS USED BY CANDIDATES' COMMITTEES ONLY (Rev . 02/96) EXPENDITURES
BY CONSULTANT

El CHECK THIS BOX IF


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

PU IV
a /I ~ r-
PART II- ITEMIZED BREAKDOWN OF UNREIMBURSED EXPENSES PAID BY CONSULTANT
TO OTHERS IN PERFORMING SERVICES OF CONTRACT (These expenses should NOT be
PART I - NAME AND ADDRESS OF CONSULTANT reported on Schedule B, as they are direct payment from the consultant .)

Name of Consultant DATE


EXPENDED NAME AND ADDRESS TO WHOM EXPENDITURE AMOUNT
MM/DD/YR Disbursemen WAS MADE PURPOSE EXPENDL
Mailing Address

TOTAL ANTICIPATED
COMPENSATION FOR
CONTRACT PERIOD (MM/DD/YR) PERFORMANCE

ESTIMATES OF PERFORMANCE

la hell-"Mo. ~
SUB-TOTAL

i I~er -- TOTAL (If last page of this schedule)


$

Page -
(for Schedule G)
JI:HtUULt
rvn uvo 1 nutlI luivJ, JCc vml.n Uf fV1TM
G BREAKDOWN
OF MONETARY
THIS FORM IS USED BY CANDIDATES' COMMITTEES ONLY (Rev . 02/96) EXPENDITURES
BY CONSULTAN1

CHECK THIS BOX IF


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

PART II- ITEMIZED BREAKDOWN OF UNREIMBURSED EXPENSES PAID BY CONSULTANT


TO OTHERS IN PERFORMING SERVICES OF CONTRACT (These expenses should NOT be
PART 1- NAME AND ADDRESS OF CONSULTANT reported on Schedule B, as they are direct payment from the consultant .)

Name of Consultant DATE


EXPENDED NAME AND ADDRESS TO WHOM EXPENDITURE AMOUNT
I,e A-nn aS('''A MM/DDIYR Disbursemen WAS MADE PURPOSE EXPENDE
Mailing Address
S

City State Zip Code

9W64-- _SD(a 39

TOTAL ANTICIPATED
COMPENSATION FOR
CONTRACT PERIOD (MM/DD/YR) PERFORMANCE

From S+

To T Pr,~kr 31, aoo I $ l~ Per- ~ou r

3~L

ESTIMATES OF PERFORMANCE

SUB-TOTAL

$
TOTAL (If last page of this schedule)

of Page _ "
(for Schedule G)
./IN
r1 11 VJ I RVtr I i%aiVJ, JCC L:)m\rr\ llr rVIRIYI
SCHEDULE I

THIS FORM IS USED BY CANDIDATES' COMMITTEES ONLY H CAMPAIGN


9 (Rev .02/96), PROPERTY ,

COMMITTEE NAME (Must be same as on Statement of Organization) ATTACH SCHEDULE H TO


EACH REPORT, MAKING
c4-t-1 ,,,q ~r slu\la- CHANGES AS REQUIRED.

O CHECK THIS BOX IF


AMENDING FORM
PART I - ONGOING INVENTORY OF CAMPAIGN PROPERTY PART II - SALES OR TRANSFERS OF CAMPAIGN PROPERTY **

Date Purchased
(Schedule B) Purchase Current
or Date Received Description of Property Price or Est . Value at Fair
(Schedule E) Value When M e " The
MM/DD/YR Acquired* R rt

Cc 6-

TCLX
3/ 7, ~r
11-4 7

Cc ltitPLL
~1 31 I

45"

TOTAL VALUE CAMPAIGN PROPERTY THIS REPORT ", ** PROPERTY SALES & TRANSFERS TOTAL TOTAL
(TRANSFER TO SUMMARY PAGE) $ 33-1511, cc, (TRANSFER TO SUMMARY PAGE) $ -

* If estimated, show est beside figure . (Attach Additional Schedules if Needed) Page of Pages
(For Schedule H

You might also like