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FO'R INSTRUCTIONS .

SEEBACK OF FORM FORM


DISCLOSURE )'UMMARY PACE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 01/2001) REPORT
L.iALk rz~ STATE rko"e C.cmmx -EE For OfceUse onIv

IMPORTANT: indicate type of committee you are reporting for: 19 Comm. #


Index
( 1 )StateMde&egLIarive Candidate (2 )Statewide PAC ( 3 )State Party (4 )CcuintylLocal Candidate
(ti )County PAC (r3 )8allat Issue/Franch" Committee (7 )County/City Central Committee
Audited
( ti )Support Slate of Candidates Computer
CANDIDATE COMMITTEES ONLY:
Candidate Name Political Patty
i1US, LA6y_
Office Sought District (it Senate or House) JAN 2 2 2002
C. T a4, .9EA-T AaAL-

)9 ft, i-i~

~an,oc Il.. a . Ag.hi_ S&3 -S 1,t -e)sc.-r i I ~ -1 lot-


SIGNATURE F REASU ER (or person filing this report) TELEPHONE DATE SIGNED

Routine Penalties Due For Late Filed Reports Range from $20 to $800
UCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENC
I AM FILING A REPORT FOR ANNA (1) ELECTION /(2)NON-ELECTION YEAR,
Sup LiKen/tAL (report date) Indicate one
L 1-1$ U 2_
OCHECK IF AMENDMENT TO REPORT DATED - Local Committees, enter Date of EIedon
I I tz. 61-
Cj Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County a Local Committees, enter County In
(You must continue to file reports until a Notice of Dissolution Is filed.) whicp Election is held

1;kyf rzf 1~f3xc,r~s~e~~nL-- -

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.) ......... .......... .............$ ()0.00
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ('also see In-kind below) .. ....... '72 z S7, 0r-
Schedule F: Loans Received total (Attach Schedule F)........... ..................... ...... ........ ... .... .. W:oV
Schedule H: Total Sales of Campaign Property (Attach Schedule H)... .. ........... .. ......... ..... .. 06, ccv
(Schedule H applies to Candidates' Committees Onlid
SUB-TOTAL......$ -1 ZZS, vc
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below)... 7(, 7 . '7 7
Schedule F: Loar Repayments total (Attach Schedule F) . .... .......... . . . .... ... . ..........., . ............ _ A) IA
CASH ON HAND at the end of this reporting period (it final report, balance must
be zero) (Attach DR-3) ................ ...... ........ ... ....... . .. .. ... .... .. .......... ....... ................. ....... ...... ....... .$ ~+s7~ 23

I
**UNPAID BILLS (From Schedule D - Attach Schedule D) .. .. ..................... ........... .. .... .. ... .. . .. ... .. . ...... $ A
*IN KIND CONTRIBUTIONS (From Schedule E- Attach Schedule E) . ........ ... .. .. . . ...... ... .. . .. ........ .... ....~
/V
'*OUTSTANDING LOANS (From Schedule F - Attach Schedule F). ............ ....... ........ ........ .. ......... .....$ JA
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) YES rNO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ A)114
For Instructions, See Back of F^-m f SCHEDULL- S

"-s I AAChi°AR'+` 1
CONTRIBUTIONS -- MONEY TAKEN IN (Rev .O66i97) RECE!P7t
,inc)ud'ang candidate's personal funds)
CHECK THIS EOX iF
COMMITITEE NAME (Must be same as On Statement Of Crganizatfon) AMENDING FORM

Lp z>{ ~ ~ 5-Wrf Ao zS F Ck - ~;:'T'T 9 IE

STATE CANDIDATES NOTE. IF .A CONTFIZUTION IS RECEIVED FROM A 3+ATEP+1C WOLtTiC .tL ACTION COMMt7rEE), L;STT1_lF PAC IDENTLFFCATCM
NUMBER AND THE PAC CHECK Num8EP IN THE DESIGNATED COLUMN . A LIST OF iD NULIBE ..AS iS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE SCARD.

CAUTION: Section C8B.32A(6), Iowa Code, prohibits the use of information copied from reports arcs statements forsolicitirg contributions or
for any corturiercial purpose by any person tinier than statutory polticai committees.

PAC ID NUMBER NAME. AND ADDRESS Or" ?:ON"!T?ILILTOR RELAT)ONSi-HP AMOUNT ~ IF FC


(if applicable) TO CANDIDATE' RECEIVED FUND
AND PAC CHECK (ff applicable) ' gAiSF!
NUMBER f NOOM

/ /O CL ;"x1((o2- 3Hr, ;tOtr SaIUir


CK# 2q34 W=s , :r,4 s1 sy~l
.-_. .._...~.a.._
I 'ID# SoSf 32 oy33 '71 s-671f - 37&v
C.t ArtE~C-rG G- 1-IoFF~+A~

4 a /' o Z (Pa , 6-, S 3 l oa . 00


i CK# 3> y Z
CuwrtrE .,+- oAt,-,

IDS W~LL Aw, C- 172X


- bsU'S - fo74u
dip /oz- 3J1 Sau-+% W .A6_nrAT 3'
CK# 7'7ys' rc .&, ZZO ;ZOO , c4+
SME~ .t_ e2-oc.k, . - zA soi~'te-- Ozz ~ _ ..

i IS' -1l(oz-S'ai'r
/SZY /-/w7 iv9 gr , o~
lllu la L CK# -7s'.9 .
i W -)- -ss_ ;, sA ,Sat-r 3
ND# VJZ wG S' 1/ 7? pus a~vkj~ `LsT
-3 /404 .5 u+ 319 .
`419 /v !
illulaz ` CK# 3b are
tuia.vart,t .sA -Sob -r2 i

ID* erv,jc. A. u1 lsv  I


~n
3/7 (o Ave. , Su . J, 7140
CK# ! cD r~J
1qS t . bes In, . ej S- o3Vg
zA

uwra.rF RLp"`t :,r, P& . kt oF $o4A ' , .


l~Jn /c z CK# M"ay (svc, a . ~:

ID# 4! 11 S4 ~Z 1 y
Ce i-fvo
,1 s A.
°1 12 - 7 3 2 - ~/t'3~
1~iz~OL ilsi Pt=cc )),-~~t
CK# /9Z`
,
TO -n LA K E. 7;4 S'D Y'r 0 __..... .__. ..~ ,_..,...... ._ .r
ID# I'YIR,J11FAcT.e" F4 .xs , Pr I-1;, i A,-),' :n Cesan,A
~U
i~Ioe t)~a~ auc
5- rs-zt.r- i+197
= /o z w ~a
l~ts o, nGj , ;TA

Gy~ S'#" Avt 5TE 333

SUB-TOTAL

TOTAL (if last page of MIS


S
sahedute~ $ -72_2
Disclosure faw requires candidate committees to disclose the reiadorship of any relative making a contribution to the
cornmittee . RetatFxtshlp roust bo shown to the third degree of consanguinity (blood relatives) and affinity (relatves by
marriage) (See Page 1 of torms packet.) . If surname of contributor is the sure as candidate, but there is no Page ._ / .--of
familial relationship, enter "not applicable" in the relationship column . !tar Schedule A;
' FOR 1PISTRUC710tiS, SEE BACK OF FORM
SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT


(Rev . 09197)
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICAT1ON NUMBER IN THE DESIGNATED COLUMN AND THE Q CHECK THIS BOX IF
?AC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF lD NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
(ETHICS & CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (1ldust be same as on Statement of Organization)

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE


ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION)
(if applicable) ~Dfsbursament)WAS MADE
AND PAC
CHECK
NUMBER

~~V- s6 VA\kj
7OTAL (if hutpage 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 personsfentities 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 parsonlentity on behalf of the candidate's committee. (Refer to
Schedule G in structions and Iowa Ccde 66 .B(3)(i) .)

(for Schedule 8)
WOR ,TISTRUCTIONS, SEEBACK OF r,.jF?M ISCHEDULE'
IN KING
COMMITTEE NAME (Must be same as on Sfatemerrt cf Organization) 'Pev.06197) CONTRi8JTCNS
i'Ate- f~m STA TLtW .i$E
(!4 . .rM=TTCAL
1 17 CHECK THIS BCX?F
AMENDING FORM

DATE RELATIONSSHfla DESCPtPTION ESTIMATED -J 1F .-"0R


RECEIVED NAME AND ADDRESS ` TO CANDIDATE OF IN KIND FAIR MARKET FUND-PAISFR
(MM/DDIYR ; OF CONTRIBUTOR ` (if applicable) p GGNTR"iBUTION VALUE CONTRIBUTION
aoo~
/ ~02 . . . ePubl~tP~ PF1ri;h of Sc~A ~Apto Acts ~'t`
!o L. y r . 3 :1
-_

f C .Z CF 2a ..~A ~ ASA..gtr ~.
Il.t P itb~iCe .. PAn~y ~J'1715

v.

TOTAL (if !as


page of this
schaduls)

'D!sciosure law requires candidates to disclose the relationship of any relative making an in kind contribution to `he Page i of-/ _
committee. Relationship must be shown to the third degree of consanguinity (bicwod rsfstives) vid affrky. (relatives (fOr SChEUl9 ~)
b y marriage) . (See Page 2 of forms packet .) if sunlarne of a ntributor is the same as
cardidats, boat there is no
tarraillal relationship, enter 'not applicable' in the relationship column.

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