NOV-11-2005 13 :20 SIOUXLAND-TRAVEL 7127378440 P .

02/05
FOR INSTRUCTIONS, SEE BACK OF FORM FORM
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
(Rev. 070004) REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only

V-e %V-V_ -r r . frv Comm . #

Logged In
IMPORTANT: Indicate by # type of committee you are mparling for.
( 1 )StatewldelLegislative/Judge Standing for Retention Candidate ( 2 )State PAC (3 )State Party Scanned
(4 )County Central Committee ( 5 )County Candidate ( 8 )City Candidate ( 7 )School Board or Other Political Computer
Subdivision Candidate ( 8 )County PAC (9 )City PAC ( 10 )School Board or Other Political Subdivision PAC
11 ) Local Ballot Issue Audited _

CANDIDATE COMMITTEES ONLY:

Candidate Name Political Party (if applicable)

Office Sought District (if Senate or House) 2005

v^0LL n Ci ~u w t i' 'Y1'4 S'-04e
vii and criminal penalties.

~71 v~ 73?- 36a 3

TELEPHONE DATE SIGNED

I AM FILING A I111~
0 REPORT FOR (1) ELECTION l(2)NON-ELECTION YEAR,
(report date) Indicate by # a

Local Committees, enter Date of Election

- CHECK IF AMENDMENT TO REPORT DATED

I J 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 DR-3 is filed .)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (Total of all funds 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 aaolles to Candidates' Committees Only)
!E!:
SUB-TOTAL . . .. . . . .. . . . . . .. $
0,
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 al the end of this reporting period (if final report balance must Q ev
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) . ., . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
CONSULTANT BREAKDOWN (Schedule G Attached?)
CANDIDATE COMMITTEES ONLY :
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H) $
STATE COMMITTEES : Submit a reconciled campaign account bank statement In January of each year .
NOO-9-2005 18 :23 FRON :DEN HPRTOG IND 7127528222 T0 :15152813701 P :4

FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

D INCURRED
COMMITTEE NAME (Must bo same as on Statement of Organlzarlon) (Rev 08198)) INDEBTEDNESS

J ("L A 0 CHECK THIS BOX

IF AMENDING
NOTE : Dobts 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
received . but not paid for by the
(DO NOT INCLUDE LOANS -- SHOW LOANS ON SCHEDULE F) end of the reportlng 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/00/YR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'

b~ OL
D 3 Cw~'Fr01 I~'Q SIC .

D r4~ e Ct

,f
V

~w61 _,! kk-,

(3 Ce 4,r,
, l AR E
U S
ran , S`1G
PLL b
"~
113 Ce tiAro~ (
ob? of
atA..A_ ;

1 J~a i~o
13 CQ "`-k` ac A- `~ 1( :s Or inVee+ laxq
a~A~ C1 e
9 rJ
1' I (J I l U ~
a vr a
~ t

K.
C4 4ro .

e Cc
~ 56..
to ~,
tv,.r
9-o x 100a
Gc, y o-,1 deS-, 9n po
A em.e5ker a rv+ Se,rv:c.es
_ _ ~a r\C, i~ C)
SUB-TOTAL

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

L_

`If actual flguro is unknown, chow estimated' beside the figure . Page of
(for Schedule D)

CANDIDATE COMMITTEES NOTE :

'Incurred Indobtednoss also Includes each personlentity with whom the candidate's committee has entered into a Contract during the reporting period for future
or continulrtp porformonco Enter the name of the consultant who provides or procures services for items such as advertising, fund-raising, pdling. managing, or
organlzlnq sorvicos . Resort on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant
NOU-9-2005 18 :23 FROM :DEN HPRTOG IND 7127528222 70 :15152813701 P :5

I
FOR INS1'RUCTIONS, SEE BACK OF FORM SCHEDULE
D INCURRED
COMMITTEE NAME (Must be some as on Statement of Organization) (Rev . 08/98)1 INDEBTEDNESS

Lj CHECKTHIS 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 dobt for

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

~ r-~ ~
la3`aS
t/r`Ci h 'C. C . -a - _S) o`I

ilo Id 1 13 Ce r~,kra 1 A-~ar -

,
BroC "r,es
.}U 1 c9 y r~
O14Agge CIT' ,
slG

SUB-TOTAL 3

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

03 g 6s
'if actual flguro Is unknown, show'estimated"beside the figure . Page - ~ of~G
(for Schedule D)

CANDIDATE COMMITTEES NOTE :

'Incurred Indebtedness also Includes each personientity with whom the candidate's commtttee has entered into e conirect during the reporting period for future
or conllnulng performance Enter the name of the consultant who provides or procures services for items such as advertising, fund-reining, polling, managing, or
orgnnlzlnp sorvlcoo Roport on Schedule G the nature of porformance and the ostlmated performance reasonably oxpected of the consultant