You are on page 1of 11

FOR INSTRUCTIONS, SEE BACK OF FOP FORM

DR-2 I DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev. 01/98) REPORT
JAN 1 ti cuu[
F Office nl
COMMITTEE NAME (Must be same as on Statement of Organizatio :, % .f comm . e
Uidexe~ .

a
Audited
Indicate type of committee you are reporting for:
(
IMPORTANT:

t )Statewid"slative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate


( 5 )County PAC ( 6 )Ballot ISSUO/Franchise Committee ( 7 )County/City Central Committee
( a )S to of Candidates

Z,41 - 3 9/j - :2, SLR Ca Z.-


SIG URE OF TR SU 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 :

I AM FILING A SC l o REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR.


(report date) Indicate one

OCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

County & Local Committees, enter County in


O 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 .) ............... ................. ........:. ... ....l..l. . ..: ......(...... .$
ADD TOTAL MONEY TAKEN IN THIS PERIOD
-3170,00
Schedule A: Cash Contributions total (Attach Schedule A)
Schedule F: Loans Received total (Attach Schedule F) ................... ............................... .. ...
Schedule H: Total Sales of Campaign Property (Attach Schedule H) ....... .. .. ..... ........ .. ..... .. .
(Schedule H aoolies to Candidates' Committees Only)
SUB-TOTAL......S '9 0
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
s~13
Schedule B: Expenditures total (Attach Schedule B) ................ .. .. .. .. .... /Os-q,5-(f
.. .. ....... ...... .. .. .... ...... 1n8y . ,s4
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) .. .. .. ..... .. ...... .. .. .. ........... .. .. ....... .. .. .... ... ... .. .. .. .. .. ...
jf v ... . . . . . . . .$
UNPAID BILLS (From Schedule D - Attach Schedule D) ...... .. .. .. ......... .. .. ........... ........... ...... ..............$ ~U -
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . .. .. .. ... .. ...... ......... .. ...... .. ............$
OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ..... .. .. .. ... .. ...... . ........ .. ...... .. ..... ..... .. S lJ, O 0 _
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
For Instructions, See Back of Fo . . SCHEDULE

A I MONETARY
CONTRI1317T10NS - MONEY TAKEN IN (Rw.06lti7) RECEIPTS
(k+dudlng carddete's personal luxe)
0 CHECK THIS BOX IF
COMMITTEE NAME (Must be sans as on Statenlsnt of Organization) AMENDING FORM

STATE CANDIDATES NOTE IF A CONTRBIJTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE). UST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A UST OF 10 NUMBERS IS AVAXASLE 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 comrtlerdal purpose by any person other than statutory poldcal convNttees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONS P AMOUNT J IF FOR
RECEIVED (M applicable) TO CANDIDAE - RECEIVED FUND.
(MMOD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
IDS E I lee n ken- e,~V .
~V . . &Aes-4ituf Ave S
Ildlef Ll09
I! CKS
e rr ,,,Pf0 .11, .T4 SOt'S~ Z5 ;~
IDS
,Tca ,. a R.. ( 5w e.r so 
CKS 15 Ash lrst~na( Ave
v
e !v ..-. v n r ..1 ~ . bS

io f
IDS
17 B
.$Z
f.
z s ~`
1-7
/(//P/O( CKw
{v,f 5-0 1-~~
IDS

ILie w N~T - 50
IDS /

I CKS p O_ Bo x Z~

IDS
Ben P X ar,
[3 o <- Zb k"
/I l/Dl01 CK1f
1 n-r 4 ., , T4 . 5-19 65 2_3
-
it
r.U
IDS l , ~
Wi ~( r~ M (,v? r ~
~l CKS y;O w . v,-Vs pe'+T
l~d~l .s0 t- . ;
IDS

CK1f ~3B ~urs, ( S4- L-


/Ve
IDS ~ C "t r e y
G e r' :. IOt

CK>r P, 0,
.' 570
11je
IDIr
w ;i( ;5
CKO Z D So id
P -140 TR - So 6S 19 %--
SUB-TOTAL _

TOTAL (if last page of this


schedule) $
Drsciosure law regwres candidate committees to disclose the relationship of any relative making a contribution to the
:Dmmiltee Relationship must be shown to the third degree of consangwnrty (blood relatives) and affinity (relatives by
arnage) (See Page 2 of forms packet .) If surname of contributor is the same as candidate . but there is no
, arnrlial relationship, enter 'not applicable' in the relationship column
(I a Schedule A)
For Instructions, See Back of , ,m SCHEDULE
A I MONETARY
CONTR113t7TIONS -- MONEY TAKEN IN (Rev . 06417) RECEIPTS
(fndudng canddafe's personal lands)
Q CHECK THIS BOX IF
C01Arr11TTEE NAME (Must be same as on Sbterrlent d Organization) AMENDING FORM

~Yl Gl,V1 \e
u
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), UST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A UST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 688.32A(6) . Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for arty, commercial purpose by any person other than statutory poil ical cortvnittees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (If applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DDJYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
1D" c7ern 6777

W 4'"
.mn-ui r) I lf cv
Ior 1y1a~S ~ifi et
I l D'U I CK" 6'T1q 3 - l Io(?~l . 5oc~

IDII
~iV1(AS ~.cr
fl'lo-o l CKIt 7vq f-
.
haVLA d tDYI
.
rrrr't 01 I~-
ID"
Tie m ovqe
II u-~1 cK" a3"T - ", V) -
C ~. o a-
ID"
.Ze1'2o-
CI' I~ ~0 I cK" -
1 1 -(u- ~ID
F0(O (;7W vows{Z1
ID"
OIL,
CK" oLO v sv & CI Yt1(,P. ~~~ ~/
~a I4
((no~ol
lD"
-eu ae y h1 s
Sir, , ~tJnv l
lo" 11
l - V
[ I I o - bl
amp ~;Vriy f r-LaL t/
CK" a-

IN
C I' I D I (P (0 f p1/I r2c2-
CK" ~/

_ I° " C ~ +-~r~ral ~J ~e Slnee ~n y


l I Io vI CK" I ~I S ' uJa+C I/
.~Wiu~
SUB-TOTAL

TOTAL (if last page of this


schedule) S
Disclosure taw requires candidate committees to disclose the relationship of any relative making a contribution to the
:'ammdl" Relationship must be shown to the thud degree of consangurnrly (blood relatives) and affinity (relatives by
-arnage) (See Page 2 of forms packet .) If surname of contributor is the same as candidate . but there is no
,amrlial relationship, enter 'not applicable' in the relationship column Page __Z___ of,
(lot Schedule A)
For Instructions, See Back of, em SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN A MONETARY


(Rev. 060'17) RECEIPTS
(YndudkV canddete's personal lands)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statenlent of OWnizatlon) AMENDING FORM

AMEWAV
F
STATE CANDIDATES NOTE: 11: A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), UST THE PAC IDENTIFICATION
NIAABER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A UST OF ID NUL43ERS IS AVAIUIBLE FROM THE IOWA ETHICS AND CAuPA*N
DISCLOSURE BOARD.

CAUTION: Section 688 .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 poYtlml conunlttees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (If applicable) TO CANDIDATE - RECEIVED FUND .
(MMOD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
IDS
Gob M,~sSe f
s S v~
I (0 -o CKS 0~ CUM wt
Fe Lkm."
.tr:. . f -U
IDS
'- tchalr (e 1,
II" l Dwl CKe
ffamef",(p
10#
~~ Wei
f "IU"01 CKx w a5
~ « ~~
IDS
E'RAC6 M_;Idr~
If - 10 _' o I CKn 7 v-( Pit lf, :~--r -
tm ~'
IDS CIn I 4-
1 - 10
U
IDS
_jt_tn-,uS CON-r ) M D,
I0_o I CKx ~~ F ~~s~tilt _

1 12
IDS
m 4 pee (~IC'ft
10 - 0 1 CK# afC111
a ~:6 - -g
IDS .
V6 V1 (/.QMVLPa(*
0 :3 3, VAUO cZ~
itrpm,IWAUPo
IDS
~Db ,~1GI~~Sv
. h
( I `ID"Ol CKx aso s .~ ~t
s v~-`~

lox

1 I p"U CKx

SUB-TOTAL
- /. .
S
TOTAL (if last page of this
schedule) $
Disclosure law requires candidate committees to disclose the relationship of any relative making a conlribution to the
:~mmdtee Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
'^arnagel (See Page 2 of forms packet .) If surname of contributor is the same as candidate . but there is no
P age 3_ of
lamrlial relationship, enter 'not applicable' in the relationship column (lot Schedule A)
For Instructions, See Back of Foi . ., SCHEDULE
A MoNETAR,r
CONTRN30TIONS - MONEY TAKEN IN (Rev . OGMT) RECEIPTS
(Including canddefes personal lunde)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same es on Statement of Orgargzatlon) AMENDING FORM

STATE CANDIDATES NOTE IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . UST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A UST OF 10 NUMBERS IS AVALA13LE 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 comrnerdal purpose by any person other than statutory poldml comirlittees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
IDx
T~ G ~e- r S
nl~ of CKx d , vY
3
.

G l k

IDx
fl~t d~~ ;~
d1l)/0 / CKx /70 S / SS t~ 5~ . ZS _ 416

IDx , ~jhe~ ~lcr-ne


lJ ; ad'
/llla~~'~
CKx 2 0 7 /v.
AJ e -1 k1, _6 -5
IDx ~
DPil n r S /z
CKx ~q39 ZS eye- .
Ale f!~MUf~ . SOrUs ~
IDx
LPo F 1 e z

Cll~~~l CKx

IDr

CKr w h~ fps S'~- __


-~
I l~/0~ l 30 (o
Zs
 . sz,s~
IDr
RV k
CKx 3 y3 flke .~ D~
~l /0~l
IDr -n~nn r S ,~
K CGMRn
-r3~
CKx 3 I 3_4 l t~ ~Q ve
/We
/11ew Air, ~" . -T- 5O 6 y
IDr /
fit. , /tia C

CKII Sr C, C INvclaitpall'
2_5 r/
/~ Neli/ a .+, /a" I h . .S LS 9
IDr
4 eel C LCOri Itf ar-71
CKr Sc o tJa sA 4v- Bo .r Z9-2
~e i ve, -,='-s . 5'01-%.Z
SUB-TOTAL

TOTAL (if last page of this


schedule) S
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
:xnm llee Relationship must be shown to the thud degree of consangWnrty (blood relatives) and affinity (relatives by
arnage) (See Page Y of forms packet .) If surname of contributor is the same as Candidate . but there is no
Page _~___ of _
Is-lial relationship . enter 'nol applicable' in the relationship Column (lo, Schedule A)
P'or Instructions, See Back of F_a SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN A I MONETARY


(Rev. Damn RECEIPTS
(Indudng canddr tis personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be sans as on Statement of Organization) AMENDING FORM

0, ; ., / Cr- S4 le ?,-,Orese" 4 (; , e
STATE CANDIDATES NOTE IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION C01,MAITTEE) . UST 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 CM,tpAnm
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
(MMIDDfYR) AND PAC CHECK FUND-
(if applicable) RAISER
NUMBER
INCOME
IDS llauSe%
0 (~C~rrfht6/f?
S
CKr 1709 - /9at~ S>t
lllB (
lam/ C m 'fd i't rci SUB _'5

IDS
l~ ~~~rs
CKr "7 l 3 Ilk m % lfo n Sf
z~- v

IDS
(,~e ~~% l L f ~V /e
CKr 13o j
. , ~
l llD/a l !C Z S-~ V
IDS
RR /ph C l~e~r n P oly
CKr to z z N, ~ o ley A v(1
~ AM '(C n,--T-:z Sel W .S
IDr
r('eenne .fk L e~4e r
CKr 13 ss Ale e /0"d
11 /0%l ~, 4o ., S9
IDS
A z 8n .
.St'. 7R x
Mr /wa
Ace e
CKr Z- U 3
lllD o/o! Z5
~4
f_~
A)e o241 T4,
So~
IDr "
?2 a be ; t
lll~~l~'l CKr 239 5 , C' I,zs-l/)ve _ .w
e -/ s: s~ ~s z.5i v
IDS -
/ V er n o ., Ln ca e- e
CKr ZIB~ M, Llorl~/tv~ s~ .=' ~-
~l 40%/
w
IDS ~~
l"1 t r ~ar' II . It e "1/ne
CKr qZ9 ~4sk Dr ;ve ~'
ri 5
l N e w 14a s-a ~s9
for
R o, I P 4
CKr /& 3 I r 70±~ S f v
Me-) . .y. ll0 D L-59
SUB-TOTAL
s 3 7s
TOTAL (if last page of this
schedule) S
DisOosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
:*)mmatee Relationahrp must be shown to the thud degree of consanguinity (blood relatives) and affinity (relatives by
-arnago) (See Page 7 of forms packet .) It surname of contributor is the same as candidate . but there is no page _!!~ _ of ,
, amrlial relationship . enter 'not applicable' in the relationship column
(la Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 06W) RECEIPTS
(kcdudrq canddete's personal hinds)

ICOMMITTEE NAME (Must be sans as o+1 Statevnent of Organization)


0 AMENDING
CHECK THIS BOX IF
FORM

j GYP ?l?e P FPSC° r x/


.

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

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

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE- RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ion ci; fzs
o / CKU ~ n l't vC' S Z
ll~ ;'VQ t/ L~ 5. L

IDaY
G" it n r? /-'J us
~~ /Glo v z' l
Z5 2 S. Maw Ie Z
CK# O

IDx
~0 4",, MI /I Arrl
~~
~ic >r Dl
CKII 5r0 _~ Cl, r.s 4,, k f /1 ve
t)ew 14i _ P 4-=, , zy Soy s9
lot kar~ My a : s
~0 /Il:ill
CKrv
Z 40
IDt~

/ CKtt f!,
CJ.~:~lrSC ;~ ~~4 S a ~I~
IDar
Sfc'~e Z ='t'
S- Zy C!e ve : Ci r- P.0 .130),3Z 7
w/0/ CKtI
Freder :cksb~ ;1 50 30
lot
-8 rya' flrr5ebd.G~'
( CKM ~D ( C 5 '<'q r r SZ St
Ne L,j Na r., D-f o ., 1'~ E. y
IDtI

e -1 Q iI, Ya /! ~ i
IN
/ ~a r y GJP~-n e ,-
ll '/0 0 f CKd 7/D S Sr Z

IDa
SW;  L"lire , _crCC
1J lf/,'`0/ CK# Z3Z 5- All c Cjcu,/ X, If
t0
SUB-TOTAL ~~
S ~ZS
TOTAL (if last page of this
schedule) S
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
:-3mmiflee Relationship must be shown to the thud degree of consangurnrty (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
farnrfial relationship . enter 'not applicable' in the relationship column (for Schedule A)
For Instructions, See Back of FL - .,I SCHEDULE
A MONETARY
CONTRIEIUTIONS - MONEY TAKEN IN (Rev. gQmn RECEIPTS
(Yndudnq canddatis personal Asds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Staternant of Organization) AMENDING FORM

Vd r'l an 0, , -a ,4e`
S-bjxe
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POUTICAL ACTION COMMITTEE) . UST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NITERS IS AVAJLIBLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION : Section 688.32A(6). Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any cornmercial purpose by any person other than statutory political committees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (8 apOcaus) TO CANDIDATE' RECEIVED FUND.
(MhVDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
IDr
l-DYI 0 U.tYLE2., $
CKr 2-0 Ma 1 n IO

IDr try ~ I,, t~

t . I o ~a I
D ~tAl~
~
f
CKr c~ ` s
IDr
1l~to - vI
CgDot C-7i1vvlveet9ve- (ors-
CKr
:~tl`mu .. ~ T ~o
IDr ~~
~~rtZ
°X')
.
bl CKr ~ua-r~ a~rf
IDr MckSier (Bi~ .i~rJ~~!rs o~_ I P,WJr
II It'd t a i Pam St ./P .o . Got (~q5
CKr
~-W
Its o') 4s w o3
IDr .
Ju(i VIS Preoxe ovv
It ~~ - o t CKr

for LA) rMU


F~ n
-

~t'(v'vI cKr .
h as UJ ffiu0I tDyl
V
a~ L
L
t1
., ., . _
T IDr
tC~YVI "motlVt Pmi
(D t/
I ( o oI CKr 12oOa
N~o
IN

CKO
11-ieRiATINifjc 1~ ~1
-
IDr
ka,VDn $1~ '1
II'I b'DI CKr (q 12- Imo(&SIT 1KU2
+iw(r0 Ill -i g 'L
SUB-TOTAL
S
TOTAL (if last page of this
schedule)
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
:yrmmrtlse Relationship must be shown to the thud degree of consangoruty (Mood relatives) and affinity (relatives by
-arnage) (See Page 2 of forms packet .) If surname of contributor is the same as candidate. but there is no Page 7_ of
lamrlial relationship . enter 'not appicable' in the relationship column (tot Schedule A)
` For Instructions, See Back of F . SCHEDULE
A 1.10NETAAY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 06417) RECFJFrTS
(Inckidn0 canddale's personal kinds)
0 CHECK THIS BOX IF
COMMITTEE NAME (Must be sans as on Stale+nsnt o/ Organization) AMENDING FORM

STATE CANDIDATES NOTE IF A CONTRIBUTION IS RECENED FROM A STATE PAC (POLRICAL ACTION COMMITTEE) . UST THE PAC MENT*ICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A UST OF ID NUMBERS IS AVMA13LE FROM THE IOWA ETHICS AND CAMPAKsm
DISCLOSURE BOARD .

CAUTION : Section 688 .324(6). Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for airy commercial purpose by any person other than statutory poYtical committees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (If applicable) TO CANDIDATE' RECEIVED FUND.
(MMOD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
IDS
k M S
a of cKr G,-R 'd
SLo o
IDII _
-e ve-
CKI 10 -13t, ~ lo'kl S'( Z5
c/
s-~'nn /c - Ta . o~07/
IDar rr-tf _~`ki~ila/J
7
Ar
24
CKAf
w~
ID+I
T- .7D/t ~(c. C,Crmair
111 241 CKfr 2_ -_m
IDS
a
~2 CKN pk 0.

L iai r %r r~ l0 5
IDII
/ Jd~n i9(Ryrne
l~ 1 ~/~1 CKIr gl 7 ''
~- L /_
Sa Sz/36,
IDr
1 a Her Mwe y a ox 34-s
31 S W, hr
/lZolrl CKk
/r/ Pr,~ / i a/n~JTOn~ ~!, $D(o c~ 9
IDx (~unr~tr
f~t" w~r~o+ a
~'~~ /~a-n~ lE ~n Z
CKit
Z. so G ~~.
~(~F .r Nk mp-fan
IDII
Cx~ S h e,Le Ifor,

Z a 3 -7 S CX PS~K{
l1 CKJI

IDIr se

1 lZ la ( CKa qzviiNIA
-~o~,7A ~o~S7 ~S
ew~m
SUB-TOTAL
C_v
S ZS
TOTAL (it last page of this
schedule) S
Dtsciosure law repwres candidate committees to disclose the relationship of any relative making a contribution to the
:7-mater Relationship must be shown to the thud degree or consangurwty (blood relatives) and affinity (relatives by
marriage) (See Page 2 of loan : packet .) If surname of conlribulor is the same as candidate . but there IS no Page 9 ,_ of i~
lamrlial relationship, enter 'not applicable' in the relationship column (lot Schedule A)
Fof Instructions, See Back of Forn, SCHEDULE
A I MONETARY
CONTRIBt7T10NS - MONEY TAKEN IN (Rev. 06197) RECEIPTS
(lndudlng canddite's personal funds)
(] CHECK THIS BOX IF
COMMfTTEE NAME (Must be same as on Statsmanf d OrgantzeNort) AMENDING FORM

STATE CANDIDATES NOTE OF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . UST THE PAC IDENTIFICATION
NUMBEA AND THE PAC CHECX NUMBER IN THE DESIGNATED COLUMN. A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD. '

CAUTION: Section 688.32A(B). Iowa Code, prohibits the use of information copied from reports and statements for soticitinp contributions or
for any commercial purpose by any person other than statutory poltksl committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (II applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID+t D 4r.i krse IC
IIlZ 7l U . B~ .k Zz`f
CKIr
Q l.J (Tk .» 7~On .Zn , jO (roS Z.
ID+r c~ ( r 1vL(m FVIc.
M &J

0j Z_ ~K# l 7J 7 i7E~sf fe 3l0~ 0


B Z SU'~ ~C~11
v r, Ca _0 z-- 02- 343
ID# / Z 5's * 9 eAvy l~r Um-'/ C-
6 y~~
_T.,,j eI'so il ~4ve
0 11(1102 CKO X 55v zN i 5
,, , e s , 50,31 Z

IDx

CKO

IDw

CK#

ADO -

CKk

IDr

CKI

IDr

CK#

IDr

CKr

IDII

CKr

SUB-TOTAL ----_-
S~~ Ir lpl CU t)jv u c ~'~o)^
~~t.^UJ~'°;t s 3 75 -
W A~ TOTAL (It last page of this
aE13 --!, -r-7fy ,o6 schedule) $ 3tF20°-U
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
:.)mmglee Relationship must be shown to the Mid degree of consanguarwy (blood relatives) and affinity (relatives by Page___
arnage) (See Page 2 of forms packet .) If surname of contributor is the same as candidate . but there is no Of 9- .. .
lamrltal 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
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
O CHECK THIS BOX IF
AMENDING FORM
ETHICS d CAMPAIGN DISCLOSURE BOARD .

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

i`la , -k ~ F- P19
r4--5,C-,7 X., ve
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disburserneno WAS MADE
(MWDD/YR) AND PAC
CHECK
NUMBER
ID# )~ ~ t
ko
oz ,9l CK# 212- 2, s~

6e- L
ID#
a41ce we(^ Id l'Q
CK#,Z13 Sf tInk I1,D) ~s

4w n,e
/o z
CK# 2~ ?
ID# ~P !~ u Ps 7' ~l1 V i ~a ~ ~ o~ S _ as
111131,11 CK# 2-49

ID# 'p .

ID#

CK#

ID#

CK#

ID#

CK#

. I~ ~ Sirs Iosq,s
SUB-TOTAL $
s4
TOTAL (If last page of this sc edule) $ _
o
; v. r .~ i~
' p, ~a am
THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY: 1

Purchases of certain campaign property costing $500 or more must also be Inventoried on Schedule H . (Refer to Schedule H instructions
.)

Expenditures to personsienffies providing consulting . advertising, fund-raising, polling, managing, organizing services must also be detail item¢ed on
Schedule G by the amount, purpose, and date of each type of expenditure made by the persoNentdy on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 58.6(3)(7 .)

(for Schedule B)

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