DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 01/98) REPORT
V Audited
IMPORTANT : Indicate type of committee you are reporting for: Computer
(t atewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
( 6 )Support y5lajeof Candidates
Routine Penalties Due For Late Filed Reports Range from $20 t
NOV 4 2004
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :
QM Id 2 &;
I AM FILING A REPORT FOR AN/A (1) ELECTION /(2)N ION YEAR .
(report date) Indicate one )
SUB-TOTAL . . . . . . S
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
I0 $
CK# zFC J J `T-e 4--t, " I To -e-c { A `p 4- Z f 5
ls.cQ
s ~ sicy
IG~ /Jy
CK# j"FFereor , S+,
335 0 El
tDo Cr S itoS
ID#
JG lyl`, `
r: Abby
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s~l~~~ ~ s-f(o3
ID#
JcG1n C, t ~~t,l'-h
c ~1
t"/
11 CK#
~l
5floi
vL~
-,~~ W l~
2_( C ±L C
l
I>!; ;SO C
l( C
D
~ D` Ll CK# /001 00
f
1 C~ ~ ~ f(u
23 Q~ i C
Jam( CK#
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ID# Cn ,, i , r . I "C
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CK# `CC U ina. 00
r ~. a
I lLLc'~5'n 2 z : b-t
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/L I A -Z-
SUB-TOTAL
Disclosure lawrequires 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
marriage) (See Page 2 of forms packet.) . 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)
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
I D# `
=3 ,f '3 5 Fo..wr~t e P
9 CK# ~OLJv
/0
S, l stto~
ID#
CK#
lots- 00
CA A 'S1 I C'
o L~/~ y - .
(
C XL7 t G 5 v, 0 0
CK#
S, c , Ci. 6~- St(d~
ID# t '
CK#
I D#
CK#
I D#
CK#
I D#
CK#
ID#
CK#
I D#
CK#
I D#
CK#
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) (See Page 2 of forms packet.) . 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)
FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form SCHEDULE
ID# JtiC G b /j S,
CK#
Ioy -1
ID# ,. L +-J,r ~. ~. r t sz 5
V Tv
"~- Ll I n0, 00
2-
CK# 1 0 -77
ID# -}-
i~ r vt h
CK# IL)7 1 0v~ r . ~- Lam . ~~1 _LIS
D-. ~. ~
tt aL A 503 1'7
ID# '
CK#
SUB-TOTAL . .$rV~~3
.66
TOTAL (iflast page of this schedule)
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)(1) .)
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN KIND
COMMITTEE NAME (Must be same as on Statem t of Organization) (Rev . 06197) CONTRIBUTIONS
11 1 . e
/
/O~ ,
s Auc ; re
1
5o2w "i
3 COG, tip F
iOiy 1r3
F7
<i C-4-4, CiL
Z-( E . ettl- 30c~10, c)U
zs ILCo-7fKJ //q 502o
F7
F7
71
F7
F7
F7
F7
0
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 _-(- of
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives ( r Schedu e 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 SCHEDULE
G BREAKDOWN
s
'0
city State Zip Code
TOTAL ANTICIPATED
COMPENSATION FOR
CONTRACT PERIOD (MMIDDIYR) PERFORMANCE
ESTIMATES OF PERFORMANCE
Page of
(for Schedule G)