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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE


COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 07/2003) REPORT

For Office Use Only


'-I R K' -~ov
T-' -SU)'r9l/1 S OP -7w2r - Comm . # - /1' 33 d

IMPORTANT: Indicate type of committee you are reporting for.


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Scanned
(1 )StatewidelLegislative Candidate ( 2 )Statewide PAC ( 3 )State Pacty.~, aunty/Local Candidate
(5 )County PAC (B )Ballot IssuelFran Committee ( 7 )CouMjrli~itylCe Computer
-_Val Committee
A`3" Audited
CANDIDATE COMMITTEES ONLY: ''
Candidate Name Pblitical Party

.Rt .s R
(,UN RE,4 .~J r6LL
PfA
Office Sought District (if Senate or House)
Coow7Y -S'

3/9 656 Sa cs 1 - 12--o5


TELEPHONE

Late filed reports are subject to possible civil and criminal penalties .
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :
I AM FILING A OGr 1:5 '-' D&'C 3 I REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one
[]CHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election
//-Z-oy-
County & Local Committees, enter County in
j~ 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.)
WAs//ING 7oiiJ

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.) ....... ......... .. ..... .. .. .. ... $ G OS
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 apalies to Candidates' Committees Only)

SUB-TOTAL..... $ Oo5 °~
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ('"'also see debts and loans below) ... 6o s °°
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) ... ...... . .. .... . .. .. .. ..... .. .. ..... ......... .. ... $
CANDIDME COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?)
VAI 119 nF r.AYPAInW PPnPPIRTV Xmm Cnharlido W - Aftanh CMorlido Idl
FOR INMUCTIONS, SEE BACK OF FORM
I
SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


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

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

fv r SLJ 006a V1.5'o Ca M i y


CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMIDQVYR) AND PAC
CHECK
NUMBER
IWAr newr-
pART,,,4 `
5T-rPs~a-nJ ~.EK~

r=6R 6p(PPVar7-clRdl~!,

CK#

ID#
CK#

ID#
CK#*.
ID#
CK#
Ip#
CK#'
ID#

CK#

SUB-TOTAL I $ Co
TOTAL (if fastpage of this schedule) $ 6 05 ;`
THIS 80X APPLIES TO CANDIDATES' COMMITTEES ONLY:
Purchases
of certain campaign property costing 6500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)

Expenditures to porsons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and data 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 6t3A.402(3)(i) .)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE I .
D INCURRED
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 08/98)1 INDEBTEDNESS

P>~4Rl~' gar Svf'~'t~ V1So~ c C) MM 177-6T- [] CHECK THIS BOX


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

An `Incurred debt" is a debt for


DEBTSIOBLIGATIONS 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
(MM/DDIYR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'
~vNOi?AlSEsz .9a 1 - so
10-T0(f S7-E-P9EA.) MAX6-J $
v~rzs~ o ~- cJPO

_ ~~pHrnl v~~x~ f'osTm~ sra~


.. RIVo~2~ior~ g c
f ,&L

_ _
5T~0°ff~J !~1?rlt XorJ s~xeY'rA-e2.y of 5:)X' o
~Zf .
VorM X66/STrtAT/0VN
L /S 7'

~Tom'®HrrJ v~ .~xwJ ~~4 ~ J .+~ .~ arms


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Sr
A
C.bryr~~~s .v .A.v

< I,/67z5 i G or' -


G .B'~'rl d~lGitl ~giG~6

I p ~2 o r.
la §ZL/W7A %1 4 .AA/6
F-PH&-n) oWA xu-J

0-25-0 ST~~levv ~~d x A I r/o-JzS "o e- c-- .Qe


IG N AZ~

SUB-TOTAL $

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

,-of-2
'If actual figure is unknown, show 'estimated' beside the figure. Page z
(for Schedule 0)

CANDIDATE COMMITTEES NOTE :


'Incurred indebtedness also includes each person/entity 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
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
D INCURRED
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 08198)1 INDEBTEDNESS
P Ric- fo,. wAewrvis d jz CHECK THIS BOX
IF AMENDING
NOTE : Debts previously reported that remain unpaid must be included on this FORM
Schedule, as well as any new obligations incurred in this period .

An "incurred debt" is a debt for


DEBTSIOBLIGATIONS 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
(MM/DD/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'

~'`'Tt~Pfl6nl ~~ ?fc~ ~'~5 ff 1,06 7vrj $


(~ is
eye-nl e^ja S
r a cJ Rn147-
C~rh ~~f 16 mot/ .f p

SUB-TOTAL $ 5- 15

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


)~ l V~

'If actual figure is unknown, show "estimated" beside the figure. Page 2- of
(for Schedule D)

CANDIDATE COMMITTEES NOTE :


`Incurred indebtedness also includes each person/entity 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

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