. l - dam -
GNATURE OF TREASURER (or person filing this report) TELEPHONE DATE SIGNED
Routine Penalties Due For Late Filed Reports Range from $20 to $800
nCHECK IF AMENDMENT TO REPORT DATED MAR 1 1 2002 Local Committees, enter Date of!Etection
-3 ._ ~
h)
County & Local Committees, enter County in
F~ Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . which Election is held
C{ou must continue to rile reports until a Notice of Dissolution is Bled .)
CASH ON HAND at the beginning of the reporting period . (This is the total
of all monies held by the committee. This amount MUST be the
same as the cash on hand at the end of the last reporting period, 3
or must be zero if this is first report riled.) . . . .......... .. .. .. . . ... .... .. .. .. .. . . . . . .. . .. . .. .. .. .. .. .. ..... .. .. .. .. .. ..$
CASH ON HAND at the end of this reporting period (if final report, balance must,,~Q a p*, -I
be zero) (Attach DR-3) ..... .. .. .. ... .. .. .. .. .......... .. . ........ .. .. .. .. .. ........... .. .. .. .. . . . . ... .. ... .. .. .. .. .... .. ....., .. . .$ Ia. IV
UNPAaD BiLLS :(From Schedule i7 - Attach Schedule D) ...... .. .. .. .. ..... .. .. .. .. .. .. . . . ...... .. .. .. .. .. .. ....... .. ......$
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . ..:. .. .. .... . . . .. .. .. .. .... .... .. ... .. .. ........$,
OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . ..... .. .. .. ....... .. .. .. .. .. ..... .... .. .. .. .. . .... .. .$
CANDIDATEC-OAAMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?)
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) I RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
I COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM i
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
RECEIVED !if applicable) TO CANDIDATE - RECEIVED FUND-
(Iv1M/DD%YR) AND PAC CHECK (if applicable) RAISER
I NUMBER I I INCOME
__
' ID# -Df- Qtbe(f A
.10 X
~~alaslDP ~~ VA+L)CL.a+
cK#
VUl4~nC~~ ilk wy~l N~~
ID# 1 e I evl KIuSSrnar I
3a $ 1'-Itit S~
~ cK#
V~laswt Cf , It~1- 5~-l0I
ID# +"IGQ . W~
AOL<"
1D# 14VI6(Q-
C~a~aS~na 1o3~-f She~'rlnan ITV- I IJ(f~
CK#
5U°
10L I CK# 3 QolneS .~14 ~ 3a°1 '
-r -.---
I
ID#
( zuSfiee f'ar ALL (~b1G
olk I I~~DCr
~a as o~ 1
1,.
d j%-
~~ hVt, s~eJ ~a L '
ID# Or S~yl
o~lasloa IDJI sco~ F~t!j+cn c .
CK#
~v1d~a"vlola..,~ W- 6'bl2S
ID#
I
C K#
ID# I
CK#
ID#
CK#
1
SUB-TOTAL
Disdosure 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 I - of _
familial relationship . enter'not applicable' in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06/97) I RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
STATE CANDIDATES NOTE : 'IF A CON-rRIBUTION 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
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD'YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
-
ID# na~ V,
sr S $ _j U
212 U ) 02- CK#
Ni t z~
~LO~
I 2
!/
S
~~ ZU'i1Z
CK#
~lc-seV%C''r+ -' .1 5~g01
U
I D# ic 41e k-
V
U 10Z CK#
AaScx, C i ; Ix ~y o
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 b) 1
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate. but there is no Page -A-_ of
familial relationship, enter "not applicable" in the relationship column . (forSchedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06197) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
vvL ;. t
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
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND
(MMIDDIYR) AND PAC CHECK (if applicable I I RAISER
NUMBER INCOME
ID#
446.r FiS 1kWiC
c 2 12(1 It- 0-
~- w
CK# ~o,~x lu LQ S--
~~zlZc.r ~2
f 1.~ ~ sou C~ W~ SvyoZ
ID# ;~~4V1 ~ vv'e ~'r1
cK#
P , ~~ , iA o
SUB-TOTAL
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
cornm:ttee . 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 _ J 15of _ __t--?-
familial relationship . enter "not applicable - in the relationship column . (to, Schedule A)
For Instructions, See Back of Form SCH EDULE
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
STATE CANDIDATES NOTE : IF A CONTRIBU ION 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
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD .'YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ~ .
C dYi II'lE ~°x~l~ $ ro
02
lkc ~orC"~ ~ .w 5N 0 I
ID#
12U 16) ZLp~ Zv`S~ . ~-u
CK# (C
C le4r L-db 114 5~9ZA
i
212UIbZ -f-+ ZC7,~~X'Jti.llC~" d
CK#
th6S") 1~S .,IGIY)c5Y1 ,~- S0Luy
ID#
~(2la(bL CK#
I~ rqtnd A,/E Ii`ZJ GJ
/.)101)v1~ +i Iv, o ,,~ 1A 5231
ID#
f., l a . rI E' ('loSS
( 0Z
i ~~(I Cr" t `` ~~- St l AP+ 1
CK#
lin e 5u~n C'( 1~ 5-DWQ I
ID#
foirPC-V KS -
i3 - 2 I - L70` S+ . ,~ vZ
(2lk ( OZ CK#
P
.rz,kl .~f:° I I T~ 5U4
v
ID#Utt2~l }-~Pdtir~ khuycr PAC L'VlJ
~'-/IS =v1 'WCI .~
L~Ja~ (C,2- CK# 15u3
t 5 ~OI~CS IA ~-c s)Z
ID# i1IC~V1 l ~C;Q~Ikzc In h- Jt~
a12U10z X132 S~ A,/t, ~S-
CK#
~~ jU0- vle I,~- U3 I
ID# -- Aer+ . Se (M&,
c ),,ore GI IQS~1 ~Z`v ,
CK#
I Es .
ID# -
ors-~w~r ~c hu~4i+ ~ ~21
~ 1d ~ C ~ T;oX ~~ -~Uu Zrt d Sf
1 CK#
k ~qA.Wl(n IA 62,3j3
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 SCHEDULE
A I MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
AMENDING FORM
STATE CANDIDATES NOTE : IF A CONTRIBUTIONNS 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
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
Z;Z4~
ID#
CK#
2I2~
I~~ ID#
'3131~~( fc l~ n
CK#
1A 5r Lt 2
ID# ,~Livvlf5 Iar iL
UZ 1305 00 ,4 S+'
CK#
/ ,jb - ,'a
1
J 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 . (forrchedule__
A
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev 06/97) I RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
AMENDING FORM
STATE CANDIDATES NOTE : IF A CONTRIBUTION/ 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
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# yU,ao~ i ~rv)av~
~Lz 5 Ken+UCfL~
- CK#
/1/~cSCf ~i Z 5CLtDI
ID# t,nn cc ){)ctt trl
1 lofOL '!03 S~arIL
CK#
"GSoyl 0 ,1 \`1 ~~ SZ~ N c I
ID# A ~c e Obt t -J1 e vt-A
v
I D#
~tCbt~rc~ 1J21SGv~
CK# ;~L-l2Z !.J(iVCl~n.
a~ ~(t 02 c
cy)
ID#
~V,h-e
J
rv), I
~ je=
'AP 02- CK#
(
cin (' i ft . A 7byc ' _.
ID#
-ail Yl
S ~Ifu[X~-~
Z)
I~ VZ CK#
ID#
~I1IC~1CiQ~~- F~t1K,b101~Se r~
"~ ,alt OZ 'AI L.Cc ;V'.C(Jt% L(fU
CK# Vi',
1 b
ID# I< rC
P~I?v~ i~a
CK# J
S,-xJeecz1e I Z
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 sumame of contributor is the same as candidate, but there is no Page of j
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev .06/97), RECEIPTS
(Including candidate's personal funds)
,-, " HECE: THIS BOa !- I
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
STATE CANDIDATES NOTE : IF A CONTRIBULtON 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 I AMOUNT ` IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
!~l
PUIOL (PC 3 t. l e vvi $
r i
z
CK#
iflC! tay~olw, L .h 7U12~
ID#
~S t
Zlk~~Z Sq-2t.e 1204 '" IkV~ °-,
CK#
S~D i l La IA S ~S
S~~eUt~rl
O)aL-f ( e2 11 SV I C(f'c~r'~c~ f~ yr , S+e C~ --~ Ixv C
CK#
0-5,(,lolne5 1 ~Z31Z
ID#
~J;,~IvE Si~cu~Ch
II
ala~~oz CK# w lz ux~C<' I~~
-t:.
ID# I
Oov(da l,t ~~ c,e X
al~2u 10 L I CK# 3jb s~ emr7,r;,
ID# &rcha(c++
01 6a
~~2U~OL
CK#
ID# -
CK#
1D# "
C K#
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 2_
familial relationship, enter "not applicable" in the relationship column . (for ScheduleA~
For Instructions, See Back of Form I SCHEDULE
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
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 CAMPAIGrv
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 1D NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT ' , IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND
(1AM/DD!YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I ID# ,ollf') Lu tic r
I D#
!IGf1 .1 I f7 . IL - I-CC ;' i!
Z
I CK# 31 k~vP t rf, ~tr
, t5 ~0' .
L I ~c> Y , C IZ . J
K
Z C
ti,1 C V1 vh J /~ Z%L}6 i
ID# k1~1G (~ -'\VIS~ '
I, . CKA
fQJ k Ua k 11 A- 7 `4i1 C,
ID#
ID# `
_-ijII .. j c.
CK#
<77) 9
I D# I ~rCf ~_ c ll s~ CI I~' b I C
ID#
~ivt'I Co~li~n
[v, z
31o M Pa I ~'
Z CK#
. CI ;TA 5~fbl _ _
ID# . Qich~rd J~a S
~
r I~~I(JZ i 11~io3 S: Fe~l~
CK#
i -J Ar sue (
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-(for-Schedule
familial relationship . enter "no! applicable" in the relationship column . 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 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) R41SER
NUMBER INCOME
ID# D. WCMei Ue(Ch 100~Jv
? coo lnu+- ) SU ,~~e 2OS $
CK#
I D# IID P
~ba7 TrdnW}a-hove pD~~ c~:I ~~ (.es-Sue w
lL4t.roo -tDe4'n-- Xve-
eK# 1G5 -"
lar~c~ ~fU10 t
I D# Lv 13r Locn 1510 clot iced See I l,Dd'u VS cfb
ID#
e4elie C-n~ I
l ~g16Z 23Z s" NW Z 3.,- v
CK# I
- ~ ~~ SDtio 1
~t
ID# I
CK# I I
ID#
i
CK#
ID# I
CK#
I D#
CK#
ID# I
CK#
ID#
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 SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN
(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Sty~tement of Organization) AMENDING FORM
STATE CANDIDATES NOTE : IF A C NTRIBUTI N 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 688.32A(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 j AMOUNT . 117=(-,R
RECEIVED (if applicable) TO CANDIDATE` ! RECEIVED FU
(MM/DD/YR) AND PAC CHECK (if applicable ; I ,RAISFP
NUMBER i INCOME
1111,41 i
CK#
- __
am A "D U
h
I 1
11102 I CK#
)Dq ~j ~ z5t.
Nbr*U)D? JN 5
, 0k4 i
I D# V 0to. f_oVSt~. j
a ~2
6
i CK#
! kk113) n C If Ik 9)W I _ I
ID# co lleen -$dvfGS
l UZ I CK#
lot, N Rh0desStaahd kV{ .
. In Iea ' o o I-
0'la -.~k4~J
)0~
CK# lff'3q IS+I~ S1- 5 I
{McS6nCr l t
ID# I
22,12, ~Ia~AV -
CK# I j
ecL k `Dw . .
ID#
~ I
162- 5o?4-th a,Syo ?nsura~e 6YCiw
CK#
SiauXCr r ef} 51101
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 trelatives by 11
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page_ tom' of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of For. . SCHEDULE
STATE CANDIDATES NOTE : IF A CONTNIBUTION 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 A.MOliNT , ;~ =pR
RECEIVED
(MM/DD/YR)
(if applicable)
AND PAC CHECK
TO CANDIDATE`
(if applicable)
RECEI%'ED
I
;
1 NUMBER N0-,iv I
I
i I I
Lo
011102, 3 0-irsre(fW ( UC
CK#11 3
hdu ( ids TA 62LIOZ -.
ID# C&Ln(d Fr(~p~ ahn
Q.~Z., ~oY I ZA 500`
cK#
~~~ie Id I1A ~~33
ID# ~~~ eCtide !G~tV mt e-e I ov
g ) - 8~~ I
31 i (D2 tv IS~e I
0 Plaine oD I
ovaca ~uuvrc~
1'. 2
-~
'3111 ~2 L+ 5 5? ~~fe rsv,
C K+ I WlaSa'1 C I I ~'~
5~ yo f
___
ID# I Lxtzl ~--Otgoy
_ .-
I D# i
5/ CK# I
GSc~tT~
SZ~
ID#
Rg s
Z 102- I CK# 0
3]
N tun 5zb2
J 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 sumame of contributor is the same as candidate. but there is no Page __ 0_ cf 117,
familial relationship, enter "not applicable" in the relationship column . (for Schedule .A)
For Instructions, See Back of Fon ( SCHEDULE
MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev.06/97 ) RECEIPTS
(Including candidate's personal funds)
L7 CHECK THIS BOX IF
I COMMITTEE NAME (Must be same as on Statement 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 I PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP i AMOuINT !F FOR ,
RECEIVED (if applicable) TO CANDIDATE' RECE!VED FUND-
iiMtvilDDIYR) AND PAC CHECK (if applicablei RAISER
NUMBER : !NCOMF
TL&~ors - t"I C OhDoComm" Ve-
-
IDD#(p23
4rD2 ~lal ~elQ re I
CK#
>>~~ ioeS ~o!~~S :174 ~D31i
> T war G I
~;i~>-* dsZZ
1D~~, MairieS,1_A-
I
5V313 i
I
CK#
I
1D#
i
ID# I
CK#
ID#
CK# l
ID#
CK#
ID#
CK# I
SUB-TOTAL
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Reiationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet .) . If sumame of contributor is the same as candidate, but there is no Page 1 9, of _L0q_-
familial relationship, enter "not applicable" in the relationship column . (for Schedule .A)
FOR INSTRUCTIONS, SEE BACK OF F 4 SCHEDULE
r
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDNR) AND PAC
CHECK
NUMBER
1D#
re P140-,4 Z-L "'I I I'4~,~
~ S
c9 ^- ~a ~l
C K# J $ W5,
~..~
1D# -5'&-7e
171 2 V ~
CK# 11 /ol. ~-
_ ly
CK# 113
lQes
r" cr
1D#
L)3 606
1D# tii_~
-2 '9 3 6
w vq 5
I D#
Ajcu~6 74) . -
~ CK#
j .3.,.3 ~~
62 °,
Z ~l ,, d s'lm l ''e- h -n4 So
s S~ gin, 3: r
r s .,
SUB-TOTAL $ I
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).)
Page - Z _ of
F0 IIYSIRL"LI101JS, SCE BACK 0F . il'V1 SCHEDULE ' L
_R ur .rTnov
I
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. 09/97) EXPENDITURES
r-
S I A I t PAG t-uMM11 1 EES: NU I t: rUK UUN I KIt%U 11UNJ MAUt I U J I A I tVVIUt UK LtU1JLA11Yt
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 « CAMPAIGN DISCLOSURE BOARD.
yal_t~
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
vi,i 1 iv ivL,iviocn r=ciwiitvnC (DESORiui.. i,AN3ACi ;0- ) 1 L.nr=~iwL.i~
EXPENDED (if applicable) (Disbursement) WAS MADE
I -DD-
(MW NR) I AND PAC
CHECK
NUMBER
I D#
CK# 1 $ X 11.
ID# 1 rrC,
v
I 1 1
i ar~~r ^
K# ~ a il CO(~ I TO&A a.
0
r
T,4
1
bia I2~~5~ . N~
od
I CK# At sop,
c;f~
1 =N 5T40 I
I r
' I D#
CK#
ID#
CK#
ID#
CK#
I
SUB-TOTAL $
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) .)
Page
FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE
D INCURRED
I COMMITTEE NAME (Must be same as on St: en of Organization) (Rev. 08/98)1 INDEBTEDNESS
s l ."
3111Q-7 a3 (ob& i~
Il ~t o
_31, ~ o a
la es- L) t s,~- 4,o &V
;
-/lx-
LU' SL,
pp /, ,,
s-mss
/ 3~
-: -~ o ~- owl C
C? C
1
SUB-TOTAL $
I
`7~l;
TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $
lcj
"If actual figure is unknown, show "estimated" beside the figure . Page ~- of j
(for Schedule D)
5~ jI0, 7L
CHECK THIS BOX IF
AMENDING FORM
Flei y
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oe v v1 cac lcJ-i C 0- _ cu
12 ~ ~(p l (-
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I G1EV>'ID~~-
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~, olnes ;-~~ 5C32 c
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'u U, t i-Iev>% Or . ~'~Q I I I
~U
~~-
.~.~ Des MUioc~ 1A 6V32- I
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page I -of tl
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 .