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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 01/98) REPORT

For Office Use Only

COMMITTEE NAME (tifu be sa so State t of Organization). Comm . a _

baeb 4e r C.r Index

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

SIGNA UR TREASURER (or person filing this report)


_.s3-zE77
TELEPHONE
As C~

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 )

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


/UOJ Z 4 zoo
County & Local Committees, enter County in
(] Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 .
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 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 .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 7 -7. SS
ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A : Cash Contributions total (Attach Schedule A) . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .

Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Schedule H applies to Candid ates' Committees Only)

SUB-TOTAL . . . . . . S
SUBTRACT TOTAL MONEY SPENT THIS PERIOD

Schedule B : Expenditures total (Attach Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /v, 1~ / 3.6~&


Schedule F : Loan Repayments total (Attach Schedule F) . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 6000, ay


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) $


For Instructions, See Back of Form SCHEDULE
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 Statem nt of Organization) AMENDING FORM

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
%o)

CK# G05 k' .yl t .?,W- -


v,b
/ C ZZ
ID#

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#
I -S- / (o L(
ID# Cn ,, i , r . I "C
Y'GL5
0 : q
CK# `CC U ina. 00
r ~. a

I lLLc'~5'n 2 z : b-t
l fJ

/L I A -Z-
SUB-TOTAL

TOTAL (if last page of this schedule)

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

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statgnjent of Organization) AMENDING FORM

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

TOTAL (iflast page of this schedule)

' 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

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(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)

,/CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# 7-
7 . to 3,7sb,wa,+^ Zz,nr b,; :
E"-,e I - $ I , O
CK# j p LI' LJ

CK# ~LG o S,'u , 3u='^ 17 u v , C-b

ID# JtiC G b /j S,

CK#
Ioy -1
ID# ,. L +-J,r ~. ~. r t sz 5
V Tv

"~- Ll I n0, 00

CK# l v sL% -Dc.s rL~ :, vas 1H 5 c 3l ~


,

ID# ~C C7 f7 ~SY~~Lwrl NYL1DC! ti{.~~.41

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)

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)(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

CHECK THIS BOX IF


AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED ~ IF FOR


RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MMIDDIYR) OF CONTRIBUTOR * (if applicable) CONTRIBUTION VALUE CONTRIBUTION

/
/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

THIS FORM IS USED BY CANDIDATES' COMMITTEES ONLY (Rev . 02/96)


OF MONETARY
EXPENDITURES
BY CONSULTANT

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


Q CHECK THIS BOX IF
AMENDING FORM

PART II- ITEMIZED BREAKDOWN OF UNREIMBURSED EXPENSES PAID BY CONSULTANT


TO OTHERS IN PERFORMING SERVICES OF CONTRACT (These expenses should NOT be
PART I - NAME AND ADDRESS OF CONSULTANT reported on Schedule B, as they are direct payment from the consultant.)

Name of Consultant DATE


EXPENDED NAME AND ADDRESS TO WHOM EXPENDITURE AMOUNT
J_acvh (MMIDD/YR Disbursement) WAS MADE PURPOSE EXPENDED
Mailing Address

s
'0
city State Zip Code

TOTAL ANTICIPATED
COMPENSATION FOR
CONTRACT PERIOD (MMIDDIYR) PERFORMANCE

ESTIMATES OF PERFORMANCE

r S L' ,U U-~ CJ SUB-TOTAL

-4 e 12 e_ o '° e TOTAL (If last page of this schedule) $

Page of
(for Schedule G)

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