(
IMPORTANT: Indicate by # type of committee you are reporting for.
1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party
m DR-2
(Rev . 07/2007)
DISCLOSURE
REPORT
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Board or Other Political
Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Political Subdivision PAC For Office Use dl
11 )Local Ballot Issue Comm . #
CANDIDATE COMMITTEES ONLY: Logged In
Candidate Name Political Party (if applicable) Scanned
Computer
Office Sought District (if Senate or House) Audited
Late reports are subject to possible civil and criminal penalties . Pursuant to Iowa Code sections 68B .32A(7) and 68A .401(3), the candidate, for a
31Q '
3a- 404, 7-12-d7
SIGN R F PERSON FILING REPORT TELEPHONE DATE SIGNED
I AM FILING A J411 / -1Ulle. 30, 2007 REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate by # 10-1
O 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 DR-3 is filed .) which Election is held
CASH ON HAND at the end of this reporting period (if final report balance must be zero) . . . . . . . . . . . . . . . . . . . . . . . . . . $ 21 5 7 /' 03
**UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
*IN KIND CONTRIBUTIONS (From Schedule E -Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2. 3
**OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . $
CONSULTANT BREAKDOWN (Schedule G Attached?) - YES X NO
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.
For Instructions, See Back of Form SCHEDULE
CAUTION : Section 68B .32A(6), 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# Ralph 7iLLase(f .0,
CK# ~, 02
I D#
2-28-O~I CK#
ID#
CK#
ID#
CK#
SUB-TOTAL
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07/03) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
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.
l, A A ARe4 Biz~C'
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# CtnP412 ' '!Ls} e4 ChQ rh
o.'F' eae~ IvE J7eCen+be~ Pa5f4~~
12-3ho1- Co
11 .3(
CK#
2467) $
90--edgy-
I T/~ S2 DI Qgt4 iA
ID#
4h~shtPpe~s ~}ssoG`Qtt'au ,
PO BDX 71882 iPptA~ Cd1QQ~~
3-$-ol) CK# ~'.S~b~
Cedes R4 dJ Z'fl 52107
ID#
CK#
1D#
CK#
1D#
CK#
ID#
CK#
I D#
CK#
1D#
CK#
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 68A .402(3)(i).)
(for Schedule B)
FOR INSTRUCTIONS, SEEBACK OF FORM SCHEDULE
E IN-KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 06/97)1 CONTRIBUTIONS
kinn AReq
E3 CHECK THIS BOX IF
AMENDING FORM
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"Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page ~- of L -
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 sumame of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .