SEEBACKOF FORM

FOR ''VSTiRUCT'ONS,
DISCLOSURE PAGE
SUN'IMARY IA F r i r l f \ q Aftfl
January1,201O,all&tements and reprfsfiled by new@mmiltee$' :
#te ofie muSb frld elecflni@lly and effiive January1, 2012,all

ineeirorm
COi|EUTTEENAnilE(Mu& b srrneas on Statenpnfof Organizatbn)
(. L\sr1\ Qc.:.--g*X.r
$,r*Sc--
tUpOnfanff: hdicale by#typeof committesyouarereprtngtE | -5 |
;H,
(Rev.12@9)
I o,,",-o,,*,
REPoRT
|
( 1 )SA@iddlegistatrrefludgp Stadng 6r RebnuonCan([tt& ( 2 )Stab PaC ( 3 )Stab Parly
i A iCoumyCenUatCommireo( 5 )Corrty Candldab ( 6 )CityGanfrdab ( 7 )Sch@lBot| o OtherPolitcal
CanOCatet e Pounty PAC ( S )City PAC ( 10 )ScMt B@d or OtfterPoliticalSuHivlsion PAC (
SutiCrvtsion

CAIIDIDATECOHiIITTEESOTILY:
CandidateName Political Paily 0f applicablE)
S=So.... \(e-.,-{.\? L\s\d Ree\*\'\lgc^-\
Disfid (f Senabor House)

Lsb reporb are subrd to pElbte dvil and crtnhal penalte. Pureusntto lswa Code secfions 68B.32Afl) 8nd 68A,t01(3), the candldab, 6r a
candid;b's commttee, and ne cfraimerson,br any ot|er tyF of commit@, b the indMdual responslblebr fillng ttnely and aco.traterePoft.

-1\a^a\3 r\s\ ?-\\-\s

$\*6s.-.-\Ld\+& DATESIGNED
SIGNATUREOF PERSONFIUNG REFORT TELEPHONE

IAM FILTNGA To\\ \q. ,dsrs REFORTFOR (r) ELECTION(2)NON-ELECTIONYEAR.

(rcportdate) Indicateby# N

ECHECK IF AMENDMEhIT TO REFORT DATED L@l Commitb€, enbr DaF of Elecfion

[.\s:se-.c^$qs,r 4 . O.SfS
E ChFckif this ls final (tennina-tiol)reportand atncfi Notigeof DlssplulionFormDR-3. enter
(YoumustcontinuEto file repolb untila DR€ is fild.) EJe.donls held
.K-e-1q \ \S\c<

STATEMENTOF CASHON HAND

CASHON HANDat the beginningof the repottingpEtiod. Clotalof all tunds heldby the
corntnitieg.This amountltlUST be the sameas Oe caehon handat the end
of the hst reportingpefiodor mu$ be zeroif this is fits(Epolt filed.) ...................
$ \\s-na
ADDTOTALUONEYTAIGNIN THISPERIOD
ScfiEdulefu CashContibutionstoEl (Attadr SdreduleA) ('also s€o in-ldndbelow)
ScheduleF: LoansRecshred btal 146"1t ScfiedulED....................
SctreduleH: TotalSalesof Campaign Property(Alhdt ScfieduleH)....................
(SaHds H applles to Candldates'Commltte€ OnlYl
suB-ToTAL................
$ \\s-na
SUBTRACTTOTAL MONEYSPENTTHIS PERIOD
total146E"1r
Schdule B: Expenditures ScheduleB) falso ss debtsand loansbelow)............
L\- a%
F: LoanRepayments
SctrEdule total(AtachScheduleD....................
CASHON HANDatthe end of thisreportngperiod(if finalreportbalancemusilbe zero)..........................$ \\e \ -t\\

-UNPAIDBlLl-9(FromSchedule
D - AnadtSdteduleD).................... ...............................
$
'lN KINDCONTRIBIfiONS(FrcmSchdule E -Aitadt Schedule E)................... ..............$ Ss.ss
'€UISTAilDING LOANS(FromSchdule F - AttacfiSdtdule F).................... .................
$
CONSULTANTBREAKDOWITI(ScheduleG Afiadld?) YES X NO
9AND!pATEGOi|MTTTEESONLY:
VALUEOF CAIUPAIGNPROPERW(FromScheduleH -Atadr Scttdule H) $ cf
STATEGOMMITTEES:Submita rsncild campaignac@untbankstatementin-Januaryof eacftysar.
For tnsilrucfions, See Back of Form

CONTRIBUTIONS- TONEY TAKEN IIII

0ndu@E carddab'o Peroqtalfutds)

NAIIE (Musf0e &me as on Statement

of OrganEation)
$-s.gc-.- \C L\.s1\ CA.6s3q'\h

STATECANDIDATES lSRECENED
MITE: lFA CONTRIBUTIoN FROMA STATE PAC(POLfiCALACTTON USTTHEqACPqry4CAnON
COMMTIEE),
Iruiriirennno ne pnc cHecxNTJMBER ls AvAtuBrEFRoMTHEtowAETHlcsAilDcAItPAIGN
colt MN.A LlsToF tDituMBERs
lNTHEDEstcNATED
DISCLOSURE BOARD.
NOTEAT{YPERSON,OTHERT|{ANAt{ INDMDI.A THATCONIRIBT'IESMORETHAN$750TOYOURCATIIIPAIGN
MAYHAVEFIUNG
@hTTACT
ASIDSHOI!.D IMMEDIATELY
RESPC'NSIB|uNES THEBOARD.

CAUTION;Secdon688.32A(6),prohibltrsthe use of Informadoncopledfiom reportsand statementsbrsoliddng contibutons orforany

commgrcialpurycs by any peeon otherthanstalutorypolidcalcommfttcss.

- F)s-<-€--

TOTAL(rf fasCpeigpof trrls scttsluld

. Illsd@Jre law reqlft€s candl&ts commltb€sb dlsclce th€ rsladonshlpd any rglatvBmddrE a corfibuton b the
commlitee.RehuonshlpmrdbeshowntothethHdegeeofconsanguhlty(U@dr€hthr@)anddnlty(t€latlveoby \ ot \
marlage) . f srrdrne of contih&r is the same as candidate, but thetp is no p"s"
hmind relsilionship,erfer hot applicable'h the relalionshipcollxnn. (brSffiuleA)
 -l

SE BACKOF FORM
FOR'ruS7RUCT'OIVS, I- ResetFormll SCHEDUTE
I
- MONBT SPENT FROM COUMMTEE ACCOUNT
B I monrrnnv
EXFENDM'RES (Rev.07/Gl) | DGENDITURES

STATE PAC COf,HITTEES: i{OTE: FORGOilTruBtmONS rdADETO STATEUIIDEOR lEGlStATtvE

CANDIDATES,UST THE CANDIDATEIDEN|IFICATIONMJMBERIN THE DESIGNATED COLT,MNANDTHE I cnecrrns BoxtF
PACCHECKNUMBERFOREACHEXPENDMJRE.A UST OF ID NUMBERS!S AVAII-ABTEFROMTHE IOI/I'A AMENDINGFORM
ETHICS& CAIIIPAIGNDISLOSURE BOARD.

COI|HITTEElrlA'l5E(Musilb sattp as on Mement ot Organization)

S.*S c.sr \(- Lts\A Q-cr.o.1aci:.r
(;ATIUIIIAIE N|AME AND AUUI{EI'U I Lt VYIIUM PURP(X'E AMUUNI
DAIE IDNUMBER EXPENDITURE (DESCR|BE
TMNSACTIOI|) E(PENDED
E(PENDED (rOpncaOn) (Dt$wsrcn0 WASMADE
(MM'DD'YR) A$IDPAC
CHECK
NUMBER
tg#
-\s\ts ''.?"*l$=r=o'
,O=.\i\r.seSt 6cs..\'
!<xlag. .SrFo'rFgrcF€^*
*c-p
cl(# * ec-*i Jasr $ 4,.\,.-t
tw NS<\rrr-s CSt 6O-N-
t*r. S{rl> S+
r\alts Ls\ }^rrc- g.e- J+ c',\<-'c'c-e-'rr\
CK#- ?' s G , s r . \ s C'.es * JG\S +e:f a-\Lt
E4^.'- ca S \3\\
lf,IF

cl(#
tD#

cKf
tD#
CKF

lD#

ct&
tllf

cKf
It)#

ct(#
SU&TOTAL $ \.ag
TOTAL(f fast pge of thls *trcciu|B,) $.r-eB
T}|ls BOXAPPUESTO CANDIDATES'GIOnf,ITTEESONLY:
ot certaficampqignpropertyodtg $5Olor morenurstaho be hvedoriedqt Sffiub
Prrrdrases H. (Rebr to SdleduleH lrffuc8ors.)

Eqendhglesto persom/efftb providbrgcorEumng,aOeilgt€, flnd-tdsftg, pmng, tnansgtg, oqanEfig es'vlcesmuglalsobe detailltemtsd on

SqheaUeO Uytfp smormtpurpce, ard dab qf @chtypoof eryendfrrc msdeby tle pelsot/en$yon behalfof tre catdideie'8conrnitbe. (Refbrto
ScfierldeG hstructonsanl lqra Code6E4.402(3X0.)
t\
Page t of t

(forsch€dub
B)
 FOR ITVSTRUC77ONS,
SEE BACK OF FORTI'

GOUUITIEE NAilE (M{rsfDe sarne as on Sfdrenellrtof OtganEffion)

Srxso--.. k-- L\s5a qs,.....€d

El cnecxrHrsBoxtF
AMENDINGFORM

(Y\r.r.cr1ff
)scr * Lv.q-
\Sa,s Lsc.fc.e.is-s.. \ c C.G.r;,fe\9\
;t ' S . g n _ S

TOTAL (lt last

page of tftb
echedulef

'Dlscloelre lgw rcqtire candldate to dlsclose

the retadonshtpof any retatho maklng an ln klnd contrlbuton to the Page \ or \
@mmfite. Relatronshlpmust b shown_tofhethfid degree of consangulntty(bl@d retathres)and afinlty (relatires (forSchduleE)
!V qatrtage). (See Page 2 of forms packet.) lf sumame of contrlbutoi ls tte'ssme as cendhate, Outth6i is no
famlllal relaffonshlp,enter hot appllcabl€"In the relatonshh column.