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IOWA GREEN PARTY

FOR INSTRUCTIONS, SEE BACK OF r,,RM P.O. BOX 72 FORM


VICTOR, IA 52347
DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 01198) REPORT

JITill For Office Use Only


COMMITTEE NAME (Must be same as on Statement of Organizat
n) FSISCrLABII~ Comm : # -2'
:rO(AIA -G12EK1v - l0AjeTq ndexed
edited . o S
IMPORTANT: Indicate type of committee you are reporting for: omputer ~ ~
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )Co i,~nap
( 5 )County PAC ( 6 )Be of Issue/Franchise Committee ( 7 )County/City Central Committee I
( 8 )Suyport Slateofq es -
_ 9 - yz~-o Dl Zz ~Z-
REASURER (orperson 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 - . - dl~~ T 0Z REPORT FOR ANIA (1) ELECTION 1(2)NON-ELECTION YEAR .


(report date) Indicate one 13
[]CHECK IF AMENDMENTTO REPORT DATED rLocal Committees, enter Date of Election

[] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County 8 Local Committees, enter County in
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 movies herd 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.) . .... .. ....... ..... .. .. .. ... .... .. .. ... .. : .... .. .. .. .. . .... .. ....... .. .. ... . $ 2(3 :7-.5_8j
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) . . .. .. .. ....... ..
_f
~~ ~/3 3.

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 ... ... $ h, f O -~- 5
SUBTRAC7 TOTAL MONEYSPENTTHIS PERIOD
Schedule B: Expenditures total Attach Schedule B ~.. ... .. .~
Schedule F: Loan Repayments total (Attach Schedule F) ..::. .. .. ...:::... .. ....: .. .. .: ... .. .. .... . ....

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

UNPAID BILLS (From Schedule D - Attach Schedule D) ... . .... .. ..... .. .. .. ... .. .. . ..... .. .. .. 5.~~- . . ~.~....... . $ to V_ __U6 /
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?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
IOWA GREEN PARTY
For Instructions, See Back of Form SCHEDULE
P.O . BOX 72
VICTOR, IA 52347 A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (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

OWA -? 12 es N -P,4,27- q

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
(if applicable) TO CANDIDATE` RECEIVED FUND-
RECEIVED
AND PAC CHECK (if applicable) RAISER
(MM/DDIYR)
NUMBER INCOME

39 : o' f
ID#
/0
~31
/p
cK# Z ~0
2; g ,Q,t a errt s.y' l .
ID#
i:66
6
C ~Z-57

// ID#
r, Aaley se
fob c, *t
ZZ cK# 3,x -3
/~9Sa x411d .

Z
l Zlo cK# Z q1 Z D ,9w ; C r~ :~ I~¢ sz=~,
ID#
if A
3 ~o l CK# III: ,vt
s:
~,, :h' l, o iAr 5 23l o
ID#
c`a ZS. Sb
(z 3
~01 cK# 0
Gr-,yen
s ~ . SZ ~

/ ID#
alln,
~O l CK#
1A sstz
l) ID#

ID# C*u
I'Zl ZLT s'a

ID#

CK#

SUB-TO IA~
/ $ 2(09.99
<J-C
TOTAL (if last page of this sched~}vie)
$ZIoQ ~q
~l~ icy'. 35
contribution to the
Disclosure law requires candidate committees to disclose the relationship of any relative making a by
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives I of
packet .) . If surname of contributor is the same as candidate, but there is no Page
marriage) (See Page 2 of forms
relationship column . (for Schedule A)
familial relationship, enter "not applicable" in the
IOWA GREEN PARTY
P.O. BOX 72
VICTOR, IA 52347

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (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)
-7:r-7o W,4- GRIN R,4/-rt y
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) I EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID#
Ze~nA4r- CV ' 4A c07 7ir

I Z Y E . rwaa1 ;n s 4-Y ;
CK# 10 2 a
:tet^jvk 6";47 , - it. SZ Z`fo

lkiy Aald- 413 4'I ..

P go,( -zy~te
S :~ C1tl +%. h. S Z7.Yo
61oa dt Gw- Gr.,,eKs
SYQ F^*-h+tk..cc 5+ .
ILih s S ~, Cr~7~M :o,C ~A' Y~ z
ca~a~t~
ID# filly N .,i-
RP. aox -Lygp
CK#/0 3 1 Jrwri ash 1 -Dot' 5_7. -&Yf

ID# u_S. /9#sj- Los %G1. 7,3 -

CK# /03 Z
Sz-zl/

ID# SA^" PAW&P-1,


3 5_ 7 S' ndo o` r0++w#/is
CK# 16$3
NG hg w , 44. SzDo

91ty At-,t
p o-6 .y zqVg

<-I'"AtIM ,r~V41, 1;4 . SZ . -yq

ID# 14-11.1/ s- i c. Dircat 601a p''r&lito


Ont At-h'f i c
CK# /03S
Vho1r~, Ay
-/4,1v57
SUB-TOTAL $

TOTAL (if last page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :


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

organizing services must also be detail itemized on


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

Page

(for Schedule B)
IOWA GREEN PARTY
P.O. BOX 72
VICTOR IA 52347
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 1N 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 de same as on Statement of Organization)

.moo WA
CANDIDATE
G, 2e',v Mr- rY
NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER - EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMIDD/YR) AND PAC
CHECK
NUMBER
G pKhll ~x
ID#
16131 Gl~w~ , fi
Z-
lo b cK#
1036 $
,~ nv A r14, sZZq o

,3 9<

I D# /Vl y

V91#/ CK# /0 ?g P" D_ DO)( I M.


J#-rrr _ Cc , rA SZ'Z y 1~
Ir ID# Z7AP ~~ C1 i
1 Ll2 .ZZ~
l z y ~ > k/~.hi"Sh-y,
l4~/0l CK#,a jq
two, M-,), j, . , SZufb
I D# .G-,Let
.
;
~+'k ' .
cK#lo
s check-- hay he h K c~to

Co A Gh__ C,;
o 'fo u w&a4t.,d 2,
lei cK# p
A(P-) IL 4-1" . /;4 . 's-m-41 r ,3/5 *Z4 . cc
45'

121y wa A,JAl rv.,


CK# 10V1

ID#
Ib~~ jlel

Satis~" , +'~to

6,90 , ,. SUB-TOTAL $
1 ~s
TOTAL (iflast page o thhAcUf) $/ ,o ~0 .

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)
IOWA GREEN PARTY
P .O. BOX 72

I
FOR INSTI~UCTJONS, SEE BACK OF FORM VICTOR, IA 5234/ SCHEDULE
D INCURRED
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 08198) INDEBTEDNESS

-:7-- DWA (~R6'FgV AAR7"V 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


DEBTSIOBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) received, but not paid for by the
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/DDIYR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD*

vl s;Ho eo(acatwL $

8 07..~.d~ . ca n~o g13 0 st'Cl4olvrlC

SUB-TOTAL $

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

*If actual figure is unknown ; show "estimated" beside the figure . Page of _ /
(for Sc dule D)

CANDIDATE COMMITTEES NOTE :


*Incurred indebtedness also includes each personfentity with whom the candidate's committee has entered into a contract during the reporting period for future
or continuing performance . Enter the name of the consultant who provides or procures services for items such as advertising, fund-raising, polling, managing, or
organizing services. Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant.

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