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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE F ' MMARY PAGE DR-2 I DISCLOSURE


COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 01/2001) REPORT
Kil3 Sf'Pr-~ fTir J~p~~Y°ri°s~T~Tlst' ~~"~r.ra,',~f'CP For Office Use Only
IMPORTANT : Indicate type of committee you are reporting for : Comm. # 5
Indexed
( 1 )Statewide/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 Audited
( 8 )Support Slate of Candidates
CANDIDATE COMMITTEES ONLY:
Candidate Name Political Party

Office Sought District (if Senate or House)

ATURE OF TREASURER (or person filing this report)

Routine Penalties Due For Late Filed Reports Range from $20 to $800
SEE INSTRUCTIONS ON BACK AN D COMPLETE THE FOLLOWING SENTENCE :
I AM FILING A ~ - 7002 REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one I AI
CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

F 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 Notice of Dissolution is filed .) which Election is held

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 .) . ... .. .. .. .. .. .... ....... .. .. ... .$
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 ...... $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) (**also see debts and loans below) . ..
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) .. . .... ...... .. .. .. . .. .. .. .. .. .. .. ..... .. .. .. ..$
**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

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
2003 (Rev . CE/97) RECEIPTS
(lnduding candidate's personal funds)
HECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Ar'2ex-'en
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 10 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 AMOUNT q IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND .
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# .,
~Lh%TPh7iLC~cr Gc71h ronZt-idvn`G 5
~~ oa

l0#
d ~ h ,~i PSf t°l-~

I D#

C K#

I D#

C K#
-
I C#

C K#

IC#

C K#
- .
1C#

CK#

ID#

CK#

ID#

CK#

IC#

CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

Oisdosure 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 Z of forms packet.). if surname of contributor is the same as candidate, but there is no
Page _L.
of
(for Schedule A)
familial relationship . enter 'not applicable" in the relationship column .
/_/ I Reior-t-
,d6 2

6
J ?0 3
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (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-d-HiLCK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A UST 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 VAME 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
I D# l(lPS7~ Bvr/r HJ
c Td"yr ~zn
ll ~ pl .4dryer~
,f'aeC C
CK# /O/ grUe~WuJ~ .rZG _ l X, 0 .17 Cl $ X02, ~O
r
10# 6/

CK#

ID# a

CK# ` .

10#

CK#

ID#
V
CK#

I D#
CK#

ID#

CK#

1D#
CK#
rJ
SUB-TOTAL $

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.)
detail Itemized on
Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also becommittee . (Refer to
on behalf of the candidate's
Schedule G by the amount. purpose. and date of each type of expenditure made by the person/entity
Schedule G instructions and Iowa Code 56 .6(3)(1) .)

Page ___1 .-.- of ___L_

..r. a. a%
ir- e~k.
FOR INSTRUCTIONS, SEE BACK OF FORM FORM
ZOAM DR-2 I DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev. 01/98) REPORT
JAN 3 0 2002 For Office Use Only

COMMITTEE NAME (Must be same as on Statement of Orginizatl n) Comm . # ) _3 5 i


BtTZrE L Co irri - ` 'G Indexed fL.~
Audited
IMPORTANT : Indicate type of committee you are reporting for: Computer
( 1 )StatewidelLegislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )County PAC ( 6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
( 8 )Suppo Slate of Can idates
l-
SIGNATURE OF TREASURER (or person filing this report) TELEPHONE DATE SIGNED

Routine Penalties Due For Late Filed Reports Range from $20 to $800

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :

I AM FILING A .,"
TI /f aoa C----- REPORT FOR AN/A ) ELECTION /(2)NON-ELECTION YEAR .
(report'date) I .)), /~ Indicate one

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
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 .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .$ e ro ~'
co-40

ADD TOTAL MONEY TAKEN IN THIS PERIOD


00 d
Schedule A : Cash Contributions total (Attach Schedule A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Zero v
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .
Schedule H : Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Z2r - 0 '~ rl
(Schedule H applies to Candidates' Com mittees Only)
e C,-
SUB-TOTAL .. . . . . $

SUBTRACT TOTAL MONEY SPENT THIS PERIOD // il


~cr
Schedule B : Expenditures total
sj
(Attach Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .aa,
. .. ........... .. .. .. . .. .. .. .. 7--
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Z era

CASH ON HAND at the end of this reporting period (if final report, balance Must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .0. .a . . . .63x .4 .0 . . . .$

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


IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ Z erU O

OUTSTANDING LOANS (From Schedule F-Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ -z e .--a

CANDIDATE COMMITTEES ONLY :

o is
CONSULTANT BREAKDOWN (Schedule G Attached?) YES -

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ z C'YY> ~~


I
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 Statement of Organization) AMENDING FORM
1f,-5
-?G- .!" c°irT~77'Ire 6w
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEWED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A UST OF 10 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 10 NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#

1 i _P1 CK# r l~v? it1~~~~ r 00


/ ..lf .- 50

cK# i~
t'S gltr ).A. ZA
ID# J~fEvft~ fGY O lf~~.cf/c£f~`
CK# YO Ar AA-)

ID# '
boo
5ptkAlU

0,2 1-0/ C'


ID#
r dI
i
'S
t
ID#

CK#

10#

CK#

ID# f3
CK#

ID#

CK#

SOB-TOTAL
CA4~ $
TOTAL (if last page of this schedule) 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 atfinity (relatives by
manage) (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, SEEBACK OF FORM SCHEOULEI
D INCURRED
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 08/98)1 INDEBTEDNESS

C'S1 P~ yr O CHECK THIS BOX


IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this
Schedule, as well as any new obligations incurred in this period . FORM

An "incurred debt' is a debt for


DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDULE F) received, but not paid for by the
end of the reporting period .,
regardless of whether an invoice
has been received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MWDDIYR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD`

/N o-01 P"q pit-


it) &W-AA rd ~s
/I qq- ol
fl u jx ~Q o

~D l~o~ tc~p '

SUB-TOTAL $

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $

'If actual figure is unknown, show "estimated' beside the figure. Page l of -~
(for Schedule D)

CANDIDATE COMMITTEES NOTE :


'Incurred indebtedness also includes each persoNentity with whom the candidate's committee has entered into a contract during the reporting period for future
or continuing performance . Enter the name of the consultant who provides or procures services for items such as advertising, fund-raising, polling, managing, or
organizing services. Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consu ltant .

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