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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

I
Reset Form
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
(Rev . 0772004) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)

Ron Longmuir for State Senate Comm . #


IMPORTANT: Indicate by # type of committee you are reporting for. 11 I Logged In
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City.CaNidate ( 7 )School Board or Other
Political Subdivision Candidate ( 8 )County PAC, ( 9,)CAy~Aa ('4,0 )School Board or Other Political Computer
Subdivision PAC ( 11 ) Locall as*0, Audited
CANDIDATE COMMITTEE A(:
Candidate Name 1JF ` Political Party (if applicable)
Late reports are subject to
P on Longmuir j;A l'~ ° t Republican
possible civil and criminal
Office Sought District (if Senate or House) penalties.
Senate 12
~._ 57-
-_37__G
TELEPHONE
DATE SIGNED

October 29
I AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.
(report date) Indicate by #

CHECK IF AMENDMENT TO REPORT DATED October 29 Local Committees, enter Date of Election

E] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
(You must continue to file reports until a DR-3 is filed.) which Election is held

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period. (Total of all funds held by the
committee. This amount MUST be the same as the cash on hand at the end
4044 .72
of the last reporting period or must be zero if this is first report filed.) .. . ..... ... ..... ... .. ... ..... ... .. $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ("also see in-kind below) ... .. ... .. 65526.00
Schedule F: Loans Received total (Attach Schedule F) .. ... ... .. ... .. ... . ..... ... .. ... ..... ..... ... ..... ... .. 0
Schedule H: Total Sales of Campaign Property (Attach Schedule H) ... ... .. ... ..... ... ..... ... ..... .. 0
(Schedule H aaolies to Candidates' Committees Only)
SUB-TOTAL ..... $ 69570 .72
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) .. .. 65613.40
Schedule F: Loan Repayments total (Attach Schedule F) .. ... ... .. . .. .. . ..... ... ..... ... ..... ... .. ... .. ... .. 2000.00
CASH ON HAND at the end of this reporting period (if final report balance must
1957.32
be zero) (Attach DR-3) ... ..... ... ..... . .. ... ..... ..... ... ..... ... ..... ... .. ... ........ ..... ... .. . ... .. ... ..... ..... ... ..... ... .. $

'*UNPAID BILLS (From Schedule D - Attach Schedule D) ....... ................ ........... ... ..... ..... ... ..... ........ .. $ 0
"IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ..... ...... ..................... ............. .. $ 19394.47
"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ......... ........................... ............... $ 0
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ 0
I
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06/97) CONTRIBUTIONS

Ron Longmuir for State Senate


® CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED J IF FOR


RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MM/DDNR) OF CONTRIBUTOR " (if applicable) CONTRIBUTION VALUE CONTRIBUTION

10/18/04
Republican Party of Iowa
621 East 9th St.
Des Moines, IA 50309
postage 3,633 .84
F1 -

EJ
Iowa Farm Bureau Federation PAC mailing 3,112.53
10/20/04 5400 University Ave.
Des Moines, IA 50266-5997

F1
Republican Party of Iowa printing and radio 2,851 .62
10/22/04 621 East 9th St . ad -
Des Moines, IA 50309

10/22/04
Republican Party of Iowa
621 East 9th St .
Des Moines, IA 50309
mailing 3,382.44
F1 -

E:1
Republican Party of Iowa postage 6,331 .87
10/22/04 621 East 9th St .
Des Moines, IA 50309

F
National Federation of Independent letters 82 .17
10/26/04 Business PAC 1201 F St. NW Suite 200
Washington, DC 20004

E:1
F 1-

F1 -

F 1-

SUB-TOTAL

TOTAL (if last


page of this
schedule)

'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page I of I
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage). (See Page 2 of forms packet.) If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
FC,? INSTRUCTIONS, SEE BACK OF FORM FORM
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2004) REPORT

For Office Use Only

I'00 k0 A,) mcci'r for enact 6tcd e S e Comm . #


IMPORTANT : In icate by # type of committee you are reporting for: Logged In
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party
Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Computer
Subdivis ion PAC ( 11 ) Local Ballot Issue
Audited
CANDIDATE COMMITTEES ONLY :

Candidate Name ., , 701 Political Party (if applicable)


- R or, L.vnr~~uc'r 3 d F6, aubl.'c a h Late reports are subject to
possible civil and criminal
Office Sought ` District (if Senate or House) penalties .
Stc i,e S r'kia te f2
_~/ I,)- Z~ _ %
SIGNATURE S N FILING ORT TELEPHONE b ATE SIGNED

I AM FILING A Or,~c b e r C( REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .


(report date) Indicate by #

CHECK IF AMENDMENT TO REPORT DATED ®C. t O ~ Pr Local Committees, enter Date of Election

El Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed .)

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period . (Total of all funds 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 .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ qp y 7, 7
ADD TOTAL MONEY TAKEN IN THIS PERIOD _ _
Schedule A : Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . .
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 . . . . . $ L U- 70,
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . 6
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "~ '/'7 C) o, G
CASH ON HAND at the end of this reporting period (if final report balance must _ 7
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1 Jr' 7. J

**UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $


*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ g ( 8 (~, l
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ d
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) El YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ '
" FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E I IN KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 06/97) CONTRIBUTIONS

R0" L o nJ 'yeL,; r ~ .^ $ fa 6e S e , c,-f"


HECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED 4 IF FOR


RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MM/DD/YR) OF CONTRIBUTOR * (if applicable) CONTRIBUTION VALUE CONTRIBUTION
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F-1

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F-1

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71

F-1

*Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage) . (See Page 2 of forms packet .) If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
FOR INSTRUCTIONS, SEE BACK OF FORM FORM
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2004) REPORT

for .S-1c fe Sera fe


For Office Use Only
RO0 -vrrur
0e, Comm . #
IMPORTANT : Indicate by # type of committee you are reporting for : Logged In
( 1 )Statewide/Legislative/Judge Standing for Retention C_aWj State PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candig@1e- to ( 7 )School Board or Other
Political Subdivision Candidate ( 8 y$ ool Board or Other Political Computer
Subdivision PAC ( 11 ) Local Ballif, Audited
CANDIDATE COMMITTEES
Candidate Name itical Party (if applicable)
Late reports are subject to
possible civil and criminal
penalties .

TELEPHONE DATE SIGNED

I AM FILING A L/C7fa ~eI ; REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .


(report date) Indicate by #

CHECK IF AMENDMENT TO REPORT DATED 1/cfc~ d -E'r' Local Committees, enter Date of Election

EJ Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed .)

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period . (Total of all funds 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 .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A : Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . .
Schedule F: Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D
(Schedule H applies to Candidates' Committees Only)

SUB-TOTAL . .. . . $
L q, 5 7h . 7 .2
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) (**also see debts and loans below) . . . . Lf,( J 3, y0
Schedule F: Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -2000 . Ob
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ OT~ 732
**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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
CANDIDATE COMMITTEES ONLY :

CONSULTANT BREAKDOWN (Schedule G Attached?)


VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)
FORINSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 0619~ CONTRIBUTIONS

Of CHECK THIS BOX IF


AMENDING FORM
Reset Fam

DATE RELATIONSHIP DESCRIPTION ESTIMATED ~ IF FOR


RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MMIDD/YR) OF CONTRIBUTOR ' (if applicable) CONTRIBUTION VALUE CONTRIBUTION
n~- ~oul
Je
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F-1
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F-1
F-1

`Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page I of -~
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage) . (See Page 2 of forms packet.) If surname of contributoris the same as candidate, but there Is no
familial relationship, enter "not applicable" in the relationship column.
FOR INSTRUCTIONS, SEE BACK OF FORM

I
FORM
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2004) REPORT

For Office Use OnM


Ron Longmuir for State Senate
Comm . #
IMPORTANT: Indicate by # type of committee you are reporting for. Logged In
(1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party
Scanned
( 4 )County Central Committee ( 6 )County Candidate ( 6 )C Cand 7 )School Board or Other
Political Subdivision Candidate (8) Board or Other Political Computer
Subdivision PAC (11 ) Local Ballot
Audited
CANDIDATE COMMITTEES ONrav" °' `° `°

Candidate Name Polfcal Party (if applicable)


~U 5 2UuLf Late reports are subject to

t
Ron Longmuir Reitblican
possible civil and criminal
Sought
t;
3 Disllct (if Senate or House) penalties.
fate Senate 1F~LED ------"~ -

S6 3 -~ 33-3~/
TELEPHONE DATE SIGNED

October 29
1 AM FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by #

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

Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County $ Local Committees, enter County in
(You must continue to file reports until a DR-3 is filed.) which Election is held

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee. This amount MUST be the same as the cash on hand at the end
4044.72
of the last reporting period or must be zero if this is first report filed.) . .. ... ... .. . .. ... .. .. . ... .. . .. ... .$

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below) . ... . .. .. . 65526.0()

Schedule F: Loans Received total (Attach Schedule F) . .. ... . .. .. . .. . .. .. . .. ... .. . .. .. . .. . .. .. . ... . . ... ... .. . 0
Schedule H: Total Sales of Campaign Property (Attach Schedule H) . .. . ... .. .. . .. . .... . .. . . . ... .. . .. . 0

(Schedule H applies to Candidates' Committees Only)

SUB-TOTAL ..... $ 69570.72


SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) . . .. 65613.40

Schedule F: Loan Repayments total (Attach Schedule F) . .. . ... .. . . . .. . .. . .. .. .... . . .. ...... ... .. . .. . .. .. . .. 2000.00
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3) . ... ... ... .. .. . .. . . . . .. . .. .. . .. ... ..... ... . .. .. . .. . .. .. . .. ... .. . .. .. . .. . .. .. . ... ..... ... .. . .. . . . .. . .. .. . .. $ 1957 .32

"UNPAID BILLS (From Schedule D -Attach Schedule D) . .. ... . .. .. . ... .. .. . .. . .. . . . ... .. ... .. . . . . .. . .. ... .. .. . . . . .. .. . ..$ 0
'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .. .. ... . .. .. . ..... ... . .. .. . .. . .. .. . .. ... .. . .. ..$ 5964 .15

"OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . .. . .. . .. .. . ... .. ... .. . .. . .. .. . .. . .. .. . .. . .. .. . .. ..$ 0

CANDIDATE COMMITTEES ONLY:

CONSULTANT BREAKDOWN (Schedule G Attached?)

VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H) $ 0


FOR INSTRUCTIONS, SEE BACK OF FORM FORM
DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 07/2004) REPORT
For Office Use Onl
~( t) 40 aarrI-c% r 1'yr Si te J err Comm. # _ 1/0
IMPORTANT : I 'ate by # type of committee you are reporting for: Logged I
( 1 )Statewide/Legislative/Judge Standin for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
(4 )County Central Committee ( 5 )Cou )School Board or Other
Political Subdivision Candidate ( 8 )Co ty o oard or Other Political Computer
Subdivision PAC ( 11 ) Local Ballot Iss Audited
CANDIDATE COMMITTEES ONLY
Candidate Name d 2 9 2004 Poli al Party (if applicable)
Late reports are subject to
r L. i' 0 -2 , possible civil and criminal
Office Sought lFII 1 i t (if Senate or House) penalties .
_Siuf e

IGNATURE O RSON FILIY REPORT DATE SIGNED

IAMFILING A (/C lo ber REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.


(report date) Indicate by # F]

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

E] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed.)

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period . (Total of all funds 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.) ..... .. ..... ....... .... ..... .. ....$ Y
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) .... ... .. .
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 .....$ , ,5_ 7 19 1
TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) ... . 105 6 _3 cr: V (J
Schedule F: Loan Repayments total (Attach Schedule F) .. .. ..... ..... .. ..... .. ..... .. ..... .. .... . .... .. .... JZ 00
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3) ..... .. .... . .. .. ..... .. ..... .. .. ... .. ..... ..... .. ..... .... ... .. . . ... .. ..... .. ..... .. ..... .. ....... .. .. ... . $ f C( ..3

**UNPAID BILLS (From Schedule D -Attach Schedule D). .. ..... ..... .... ..... ....... .. ... ....... .. ..... .. ..... .. .. ..... .$
*IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .... ....... ..... .. ..... .. ..... .. ..... .. .. .. ... . $ 3 L r ,rC " ,

**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .. .. ..... .... ..... .. ... .. ....... .. ... .. ..... .. .... . $ 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 Form SCHEDULE
Resd Foam
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Ron L.on mu~~ ~~~ ~ cf .5+~.-tom e


STATE CANDIDATES NOTE: IFACONTRIBUTION 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# J uyetl e CCJCell b-It
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* 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 ofconsanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page of _
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
I
For Instructions, See Back of Form SCHEDULE

A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
C] CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of tlrganization) AMENDING FORM

P011 I. onlfmu ",'


STATECANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM ASTATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER ANDTHE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS ANDCAMPAIGN
DISCLOSURE BOARD.

CAUTION : Section 68B.32A(6), Iowa Code, prohibits the use of information copied from reports and statements forsoliciting 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 4 IF FOR
RECEIVED (rf applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (it applicable) RAISER
NUMBER INCOME
ID#
RePLibl,Ca N Pi,by 4Fsc,- ,j4 $
k> ~` e zc`
1191.9,610 41 CK#. L;( f 5i*4
I
_
-i-F tri)-Tt'~
& ~j Ho-'n ' ' ~DO
ID#

CK# "L',' p
e
-t ~"a - 7c'l'
l tj C?
E:1
ID#

CK#

ID#

CK#
E:1
ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to thethird degree of consanguinity (blood relatives) and affinity (relatives by
of
marriage) . If surname of contributor is the same as candidate, but there is no Page ~-
familial relationship, enter 'riot applicable" in the relationship column . (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM I ReSO Fonn SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev . 07/03)
MONETARY
EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS 8 CAMPAIGN DISCLOSURE BOARD .

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


I
_C/_1y?qMLtir Poll ' Z~ -
CL 6

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (f applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER

S,/00 I
D~ cKtrCA -&,s
-4 $y03`fS,OC?
?Sf,Pr
ID# tc, ., l rc~r~~f
~& err I
cK# 111 71

Iv CK# 1) 7.2
5,) 00 w. 36Th S_j, 7
V,
<trrfS .S_G~Glc~, C70

6-21
YV KS~ u n r.^, :1.: Tj
ID# Vi L.f 4~ r 1 ~' n) P d' i.7 ,' i 5 c'J
V
llJ~ ' r a
6J6 CK# `,

ID# ' t
i^ e ;,,m Kc r y e n~ ~^ n f

lola/ t CK#
1 (~, W a r f~ re c n .:> ~ c"r
. .°~cvz.y ~Pr .I~Gtv'Pn ~Cr~, -1-A-- 5- .Z 0 142

ID#

CK#

ID#

CK#

SUB-TOTAL

TOTAL (If test page of Mis schedule) $ ~., -t 3 5,


y0

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 persoNentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 88A .402(3)(i) .)

Page I r of

(for Schedule B)
FOR INSTRUCTIONS, SEEBACK OF FORM SCHEDULE
OM
E IN KIND

S
COMMITTEE NAME (Must be same as on Statement d Organ¢ahon) (Rev . CONTRIBUTIONS

6012 L ~7 -e S'& e
Q CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED 4 IF FOR


RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MMMUVYR) OF CONTRIBUTOR ' (f applicable) CONTRIBUTION VALUE CONTRIBUTION
.i /.7/~
_ Lri.tJcturn ; ~urec~,,~ Fc'~.lC .^c :f t1 (.
v/~ 5 yf/~ l.1!n ; ~eri'c y AV L' ,
W as f.,
Dm's 1Y0r, r~Ls a/y ~p
mCx %
F
F-1
F-1
F-1
F-1
F]
F-1
F-1
F1
F-1

'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page of
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage). (See Page 2 of forms packet.) If sumame of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE

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


(Rev . 07/03) RECEIVED
/Tot, JLUr,, /17r.Lir^ ~or'-s-.cLFe-5017Glt & REPAID

NOTE : This schedule reports money loaned to the committee which is deposited in the committee account. CHECK THIS BOX IF
AMENDING FORM
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD $ _ Q~JG Z__________------

PART I - MONETARY LOANS RECEIVED THIS REPORTING PERIOD PART 11- MONETARY LOAN REPAYMENTS MADE THIS REPORTING PERIOD
(Original source of loan, such as a bank, must be shown if a third party is (Loans forgiven must be reported on Schedule E -- In-kind Contributions.)
involved. Include loans from candidate's personal funds.)
DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT DATE PAID NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT
RECEIVED (Include Endorser's Name, If Applicable) TO CANDIDATE OF LOAN (MM/DD/YR) (Include Endorsers Name, If Applicable) TO CANDIDATE' REPAID
MM/DD/YR If A licable* If Applicable)

8D~e_M `.G4 C, mu, n

73
_
LA ~_ 676 "

TOTAL (PART I) - $ TOTAL CASH REPAYMENTS (PART ll) $ 00

From Schedule E -- TOTAL LOANS FORGIVEN $ ,-~

TOTAL OUTSTANDING LOANS END OF REPORT PERIOD $~.~

'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 surname of contributor is
the same as candidate, but there is no familial relationship, enter "not applicable" in the
relationship column when it applies . Page
(for Schedule F)

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