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-617F
SIGNATURE OF TREASURER (or rson filing this report) TELEPHONE DATE SIGNED
Late filed reports are subject to possible civil and criminal penalties .
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :
I AM FILING Ar 51YQu hekw
elKftp~ ~~ REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
-T (report date)
Indicate one
Local Committees, enter Date of Election
[]CHECK IF AMENDMENT TO REPORT DATED
CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ .25Q $ . 5"9 -,,-
*"UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ --f~~_
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
"*OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) D YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H) $
For Instructions, See Back of Form SCHEDULE
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# ~ /I~R~uirv K~pou-r
cK# Sox 16 ,1 $ w
3- ~3 -~~( .. 73
ID# CALVIN moFFtT
CK# 13 1 5 3 70 i-h ST--
3-13,04 TAMA =DWA Z33 0~
ID#
e 2 A tG 6- (,tJj t, t, t am s
x{08 w, "gROA0 Ur P080Jk 183
3-13 .
cK#
i . .- . I, so ~.5
ID# Ttm SAWN E9
3 L)Lf W - 16ROA D f080V 7j
3.~(-v 5U
cK#
m r~ o173
ID#
wEst-may ~- ttosK6~~
13 t1o t4w t E 49
3 y 1q44 CK#
ID#
An r1+og~y sm I; th
lot I+IWG ton Po0oy 17
200 o 0 O
CK# l.J
3-14,Oq =
ID#
BE N- f A m In (JOLT
W . BROAD
CK# 6W ~()
3, ~y ,0~r ~ A 5
ID#
ORLE GEeICKE ~
I~- I
CK# Z,U -I S, Franklin
3 -~~l ManjOLLC = ., o
ID#
U .Mat*d
CK# 2,11 n 7c R" (e3
,Uq S23 Z 2,U0 °-°
ID#
vo40 WtENele
CK# P 0 (Bo~c l4 z_
3-15 .- .lour
M,- T owR S(4:)173
SUB-TOTAL
' 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) . If sumame of contributor is the same as candidate, but there is no Page 1 of
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
MAR-20-2©04 09137 rR--1'1:DCRR CONIv-LTIN9 SEW 712 . 75E-3440 TO :164t4926379
O
~{ 13 rhrCLe t( an S'r OD
tM
,5e
-
0
3 - ~5-0y
°ICI
ajjr 15Z337 $ -
loll
MtL)A 2 .O 15 le o
. So
e
- ! 5. CKS 3330 PWU E 0o
r .~. sot
____
ms o
log
~. tr -
ku.pK.A A
i i+h
Me=
20 I
A =owe szav 5
3GEIe
,I? WACHF1
Z328 300+1 re°
z
I il PIRG A12.er 0uSr(&n
2319 320
Tc~&M
, =WA Q-392. Oo`r°
' (m I4(nes
j Blots Hwy T4 7 ~So Oro
n~ll"1 i" Imo _____
Gpp- l+o sK
CIU 3 coo IQw A - 7
!A SO 1 3-3 O
I0# Q
BO S t+(~w
cI# oa
-l9- d MGv% -Mwr Tow A 501 -73 jU
llar ALICF GA2 tZETT
CIA Bo x Z 3 b X 00
3 , 19 _
IaI~ !.v/LCD min ,OpteJN 3
/V03 Hw y E,47 50°-°
CV0
;17 A Su173
TUTA
TOTAL (iflastpeps ofthis sabedLW
- Dtagoaure lawrepulrea Con,""sfgYlt
oamsraeee )oblacpae tm rdaaanahlp or any nlathw rn"N a ow*ipuwon w tho
cammlltae, Ratatiorlshlp mull ba tothethird de,Xw aroontsnQutMiy (blood ralitNm) and afnay (relaltm by PsEe ,2-
marripal . If sums" of contrfbuteris tmInearns as usididata, but Mare Is no ~uli~~
fWAisl relatlonshlo . enbr'not a~le Me ralsioratdp coiwnn.
MPP-20-2'004 09 :?7 F'R)M:DGM O?N9-!_TING SERV 71,=--750-3440 TO : 16414926379
aTATE CANOIVATE8 NCTR: if ACONTRIBUTION Is RECEIYED PROM A STATEPAC (POLITIGIL ACTION COUMITTEE), LIST TIC PACIDENTIFICATION
NWAR AND THE PAC CHECK NUMSEA IN THE 0ESK;NAT6C COLUMN . A LIST GF 10 NUM111111Re Is AVAILABLE FROM THS IOWA STWCSAND CAMPAIGN
DIap.OfaJ111t SCAM .
CAUTION! 8adion M8.S2A(A), Iowa Code, prohibb tM useof Infoeestlon wpied from reports and statements for solieillnp contributior+a or
for any commordal purpose by any person other than statutory political commltt+fe.
GER i R. 4c)sKF LI
3268 Hwj -r-q7
I'Y1onTOLLr Ta o f'73
__ _
tal - . Dj9vlo C- IfA7s.9L
./
3B2 HI-9, y4g? s oac
3"77 CKa .!
X?
CHELSf A, 5szis
ow
Dlseyosure law regweaeasodete aonunlaamto 011 60040 MR rWauonahlp of any mlalYe rnaiwp a aor*Wion b
and afnay (rstatlm by
ccanmittea, Rdlatbnahlp mull be ~to the third dawns doonaanpuklky (blood NOW") Pops 3 of
nrofrtsga) . it surname of wtffbu* uthe sanm as oendidata, tart drone la no Or adule-A) '
femiYal nlationahlp, eMtr `not apObedble'tn pre rele2eMaldp esotumn,
MAR-20-2204 09137 F-RDM :DCPR EERV 72--75Q-3440 '0 :16924'92637" P .1
PATE CANVWATgl NOTR: If ACONTRt"UTION le RECIMI) FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC WWFICATION
hINUKRANO THE PAC CHIr0K NUMEEA IN THE aEWNAT4C COLUMN. A LIST OF ID NUMMM li AVAILAM FROM *WA FTKIC1 AND CAMPAIGN
D4MCBUIIB BOARD .
CAUTION ; Section 6e111.32A(!), lows Code, prohlbf tM use of InfomUbon copied from sports and statements for sohdpnq conWbudons or
for any commerdal purpose by any person cther than statutory political commNess .
VATS " A4 10 h" ,ti~l" iiR '~d!1_I_'f:I±L RGLAI I1,Jgi/7[r AMOUNT v IF FOR
RECEIVED (M App Wbb) TO CANDIDATE' RECEIVED FUNS
(M4YOyyR) AND PAC CHECK (rappnaaels) RAISER
NW"R INCOME
IN _. jR16wE-- KASR
C" 3s~ y H4. y v-It
3. /7 S ai 00
R la.
o
Ice 1-119R R SON
3 -2 3
Cwr
T- ~~ =WA _ S23~F ~
.. , loo o0
CK#
ti7p
lop
C"
i0tt '
car
DIadOSWQ law rsquass t 0orhewrres 10 disclose the rdmfionatNp of snY raw" malune a wwpaBOn ID t
cornmittre. Relationship must be ~ to the third dapras of oonsan uirAY (blood ro ltivves) and affinity (rewtoea by
nerrispe) . If surname a( oenMbutsr Is !M sarne so oar~s, W there is na
hrnillol relationshlp, emW "net spollosW in t rels#milp column .
FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE
MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B
(Rev. 07/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE F1 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.
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
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 68A .6(3)(i) .)
Page of
(for Schedule B)