FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE Reset Form "A DR-2 I DISCLOSURE

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

e'
For Office Use o 1
en
yl~yf'1 f l f t~ ±A F_ - -4 -
A .),L f~a IIJ . uA~ Comm. #
Logged in
IMPORTANT : Indicate type of committee you are reporting for.
Scanned
(1 )StatewidelLegislefive Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate Computer
( 5 )County PAC (6 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
Audited
CANDIDATE COMMITTEES ONLY :

P.
Candidate Name
/1 &&AA~ f'
ti-JI&C_ - `? ZOQ
Office Sought District (if Senate or House)

C,CCA t a.l Ul-91~

()L 41 ~t:5b 3)~ b3 -7'q DATE SIGNED

SI ATURE OF TREASURER (or pe on filing this report) 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 - REPORT FOR AN/A (1) ELECTION 1(2)NON-ELECTION YEAR_
(report date) Indicate one

9;(.';'HECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

lb
(~ 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.) ......... ..... .. .. ............... $
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) ...... .... ................ .. .... ..

?4
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL .....$
'7 ~T:7q3 .
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) ............ .. ..... ................ .... ........... .. 6/ 1 9-71 .Yq-
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) ............. .. ....... ..... .................... $ 3

"*OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ................................... .... ....... .... . $
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
 FOR INSTRUCTIONS, SEE BACK OF FORM t Reset:- orm, SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev. (17103)
MONETARY
EXPENDITURES

STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE

CANDIDATES . UST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE EGK 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)

~a mrrn''* ~.. _
AMOUNT
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTK)N) EXPENDED
EXPENDED (f applicabie) (Disbursemer* WAS MADE
(MMIDDIYR) AND PAC
CHECK
NUMBER
ID# S yCttt.rtit.iD<<-`t~LVtte.Tit~
CK#
S cuvwl~ S
o K.,. ~ C- . W1 (e f
n

~
3 ol d'- Sf-
tD#

5 CK# QC~Ve.r jIlst~~ 4 '9o Q.a

iD#

~~ CK# 33 l+b~ , 5~ ~. G~-e

~U x ~~ ) g~ .
1 tD#
i:f- U.)(~ CK wcc,
CK# 3 al S ,bw-r r C1'-
o ~,
nn« .scom k I&--5d 61
rn.LUX .C2 .1~-I% - &016 .
y
o#2 b CK# l4

ID#
U.4 CGttLt~4+ a1
cK#
ei o
iD#
t.St
CK# ~ ,t C. VE.t t tn,.)
cruet . 7 7,1 4455, b5
'D#
P-.k, ju-

w.
SUB-TOTAL $
TOTAL (iflast page of this schedule) $

THIS BOX APPLIES TO CANDIDATES - COMMITTEES ONLY:

Purchases of certain campaign property costing $500 or more rnust also be inventoried on Schedule H. (Refer to Schedule H instructions .)

Expenditures to personslentitles providatg consulting, advertising, fund-raising, PWV. 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 persordenlity on behaf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 6aA.402(3)0.)

Page a of 49-
 (~~ `7W t~ 1) ~ 0 00 Off. . - a7-2a
FOR INSTRUCTIONS, SEE BACK OF FORM
FORM
DISCLOSURE SUMMARY PAGE Reset Form DR-2 I DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2003) REPORT

For Office Use Only

Lemoffee t Cfed )U lthm Comm . # 1 I
a
Peictied,
IMPORTANT: Indicate type of committee you are reporting for: Logged
Scanned
( 1 )Statewide/Leg islative C andidate ( 2 )Statewide PAC ( 3 )State Party (4 )County/Local Candidate
( 5 )County PAC ( 6 )B allot Issue/Franchise Committee (7 )itluahaQAm .Central Committee Computer
Audited
CANDIDATE COMMITTEES

SIGNATU E OF TREASURER (or pers filing this report TELEPHONE DATE SIGNED

Late filed reports are subject to possible civil and criminal penalties.
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :

a
I AM FILING A ( (_-~ 451CA 1 n[
:- Q6/&`4 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

(~ 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 .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ l-7,-,3
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A : Cash Contributions total (Attach Schedule A) ('also see in-kind below) . . . . . . . . . . 52 111) 40 0
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 . . .. . $ G Q
SUBTRACT TOTAL MONEY SPENT THIS PERIOD s lg i~ k , a7 3 ,$t(
Schedule B : Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . . (mil /744%
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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

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

'IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10.3 .1- ta' .. On
-OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) 1-1 YES NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)

Fnr Instructions, See Back of Four SCHEDULE
Rcae,E Fuh .
;fa
J Q MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) 1 RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Committee to Elect Nathan Reichert

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 6t3B .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.

PAC iD NUMBER
(if applicable)
NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP
TO CANDIDATE`
AMOUNT
RECEIVED
I J IF FOR
FUND-
AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
Quad City Federation of Labor
C .O .P .E . Account3 l l 1/2 21st Street
Rock Island, IL 61201 El
Shomshor, Jr .,Paul
3018 Ave . M .
Council Bluffs, Ia. 51501

Tomlonovic, Cecilia J.
1245 40th Street
Des Moines, Ia, 50311

AIes,David E .
412 W . 2nd St.
Muscatine, Ia. 52761

Smith, Betty A
1800 Briarwood
Muscatine, Ia . 52761

Ballas, Ellen K .
1958 S . Ridge Dr.
Coralville, Ia. 52241-1057

each, James S .
1727 Pearlview Court
Muscatine, Ia . 52761

Frost, Gary L .
615 6th Ave .
Coralvitle, Ia. 52241-1938

Kessler, Craig A .
10 Spring Valley Drive N .E.
Iowa City, Ia 52240
Marshall, Leslie
U ,of I College of Nursing
Iowa City, Ia . 52242

' Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
commitiee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by 1
marriage) . IF sumame of contributor is the same as candidate, but there is no page of
falniiiai relationship, enter "not applicable' in the relationship column . (for Schedule A)
Far Instructions, See Back of Forin

CONTRIBUTIONS - MONEY TAKEN IN

(Including candidate's personal funds)

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

Committee to Elect Nathan Reichert
L
AT:.TE CANDIDATES NOTE : IF ACONTRIBUTION IS RECEIVED FROM ASTATE 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 AMOUNT V IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
- !~ NU MBER __ _ _ INCOME

Marti n, J . David
10/18/2004 1614 Somerset Lane $50 .00
CK#

-
Ia. City, Ia . 52240

. _ Ej
ID# Mcguinness, Peter G .
10/18/2004 2130 5th Ave . 15 .00
CK#
Muscatine, Ia . 52761 1

Means Julia
10/18/2004 CK# 1507 College St. 25 .00

!D#
Means, Julia
10/18/2004 CK# 1507 College St. 12 .00
Ia, City, Ia. 52245
_ ID#~__-_ .
Pauley > Cynthia A. f "I
1422 E . College St . 25 .00
10/18/2004 CK#
Ia . City, Ia. 52245
_
!~ Shoultz, Judit
5801 6th Ave . W . 30 .00
10/18/2004 CK#
Muscatine, Ia, 52761
ID# Unitemized Contribution
10/18/2004 Pass the hat 312 .00
CK#
HarkinEvent _
!D# Davis, Mrs . Lane
10/20/2004 249 Magowan Ave . 25 .00
CK# ! _ G
Va. City, Ia . 52246

ED
I D# Hansen, Peter J. -
10/20/2004 CK# 1203 Cambria Crt . 50 .00
Ia . City, Ia 52246

Ej
I(:?# Ingrain, Patrick E .
8 Wrex Ham 50,00
10/20/2004 CK# Ia . City, Ia. 52246

SUB-TOTAL

TOTAL (i'f last page of this schedule)

* 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 try 2
marriage) . If sumame 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

MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
Committee to Elect Nathan Reichert

.r`: ANDID.A".- "= : 7.; A STATE .-AC IrOLITICAL 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 C ode, 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
-
_-1D# Justice for all PAC
&U JI ''[C
1.0/20/2004 218 6th Ave . STE 526 $2, .500 .00 t
CK# ` Des . Moines, Ia . 503094091
- _ _
ID
` Mears, Julia
10/20/2004 CK# 1507 College St .
Ia. City, Ia. 52245
15 .00
LM-A
ID#
Yerkes, Barbara A .
10/20/2004 CK# 1622 Muscatine Ave, 25 .00
Ia . City, Ia . 52240
_ __ __-
._J-1 Griffeth, Victoria M .
10/21/2004 411 Parkington Dr . 10 .00
CK#
Muscatine, Ia 52761
__-
tQ# Iowa Democratic Party
10/21/2044 1408 Locust St. State Acct . 49,000.00
CK#
Des Moines, Ia .52761
1D# ~ Dvorsky,RobertE . -_
412 6th St . 25 .00
10-26-04 CK#
Coralville, Ia. 52241
i Macqueen, Gertrude
10-26-04 454 Lexington Ave. 250 .00
CK#

tCy#
Iowa City, IA 52246-2417
I(}#
Mascher, Mary
10-26-f14 40 Gryn Court 25 .00
Iowa City, Ia. 52246
__
Myers, Richard E .
10-26-04 CK# 2812 Commerce Dr. 100 .00
Coralville, Ia. 52241
ID# _
Putman, Kelley L .
10-26-04 P .O . Box 1580 50.00
CK# Ia . City, Ia. 52245

SUB-TOTAL

TOTAL (If last page of this schedule)

" 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 (relartnes by 3 of 44
marriage), If surname of contributor is the same as candidate, but there is no paw --- of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
-.v- instructions. See Back of Form,

CONTRIBUTIONS -- MONEY TAKEN IN

(Including candidate's personal funds)

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

Committee to Elect Nathan Reichert

vTATE CANDIDATES NOTE : IF A CONTRIBLITION IS RECEIVED FROM R 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 6SB.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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# Reece, Lauren
10-26-04 901 Whose Ave. $25.00
CK# Ia . City, la 52246
ID# Stutsman, Sally
10-26-04 3714-500th St. SW 25 .00
CK#
Riverside, Ia. 52327-9724
_
JD#
Ulrick, David R. -
10-26-04 514 Terrace Rd 25 .00
CK#
Ia . City, Ia. 52246
ID#

E~]
Uniternized Contribution
10-26-04 Ia . City Event 24 .00
CK#

CK#

CK# E:1
ID#
I
CK#

ID#

CK#
i
ID#

CK#

ID#

CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

Disclosure lawrequires candidate committees to disclose the relationship of anyrelative making acontribution to the
committee. Relationship must be shown to the third degree of consanguinity(blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there Is no Page _ of
familial relationship, enter "not applicable" In the relationship cokurm . (for Schedule A)
 FOR INSTRUCTIONS, SEE BACK OF FORM Rese t;Form SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07/03) EXPENDITURES

D
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 .

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

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

l0
f ~4
ID# ~ wQC/K
3a~ce ry, La6
Ki. I ~.c~
~
~-7 b 1
c ~.d~ C $ I 33z7~
c"
ID# jVIL.XSCca%-tikL .~ , ~wtv T" Wa.

C~~ (~
3,'Zo 5 cc r S~-. ~~
CK#
VVlusc'u.~i~ . Lo. ,J`.Z.7(o( `9 ,23 5a-7 . oC

l0~ ~k.. 1) dwca ~ orb . 05

Y CK#
s tti" lw
_Lv~~

I D#
C~~ VV\ VV
t.
%A-w

t5 Cm a-0 .
CK#
y
- ' ID# r
Cc v`~~ C Us

/ ~~ CK# 1 -7 3 E0_6} (r CLA Cl trw z-

O S
v~ r~~ ~, v b 1 vx v :1,C~
ID#
u C`-v- ye% 1MuS . ~-vu r YN V 1 G~ T'd u
CK# 3'`~' 5 UC
0'y o1 S~ 1'~luac .
ID#
ti-)I QC
CK# US .Q r(Ic C~Q e l

ID# '

~~ ukbe-r~-e.. v I~oSo .aU

CK#

SUB-TOTAL $ a
~.
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 .)

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) .)

Page Of

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM r Reset Fo SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(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 D CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS 8 CAMPAIGN DISCLOSURE BOARD .

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

(.o mm : e. r r:. :r-

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

e2~ lh S _ cuvwl>S~T . $
CK#
o wl. ;,~. . say cf, t C~e . 00
ID#
C3 T
'015 CK# ~~'- Sf . ajVer ~OQ .a
IlS1+~.~
.1

P&J. vl
1D#

%9,5y CK# 33 ~394, dd

init
U-) w Cc,
CK# 3Q19 wVW ,b._r ( ,~ C
, CL,-_6
c,hS Ca~~ V~G 14 . (a I
1D#

CK# tct YL lu-.

LV!&, l
Vtitusc6,_V-

CK# 3 06 d~.~- s~ T6 v d
b~
ID# ~
V t Su ~~~/~C~
70 (cl, CK# 'qo ~, ~r a UI,V PJ t <
,c 7 c~ 7; )55 .65

fX~N -Nom,
6`} CK# ~P -j . CSU

5i13 SUB-TOTAL $
a0,W3 ID
TOTAL (if last page of this schedule) $ j,
r~
~~ i~l ( q Z 3 ,~

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 .)

Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
committee . (Refer to
Schedule G by the amount, purpose, and date of each type of expenditure made by the personlentity on behalf of the candidate's
Srhodjda r; inctnjr1inns and Iowa Code 68A.402(3)(il .)

(for Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM
SCHEDULE

COMMITTEE NAME (Must be same as on Statement of Organization) E IN KIND

(Rev. 06197)1 CONTRIBUTIONS

i» ; e- , . ~J E(t,Y A I
CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED 4 IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MMIDDIYR) OF CONTRIBUTOR ' (if applicable) CONTRIBUTION VALUE CONTRIBUTION
sowcs.13eY1AACY C t r $

c 5 /n ~P ay oao
~~
J JUv F-1
YC2 1
Y_j n 04Y F-1
F-1
F-1
F-1
F-1
F-1
F-1
F-1
SUB-TOTAL

TOTAL (if last / $

page of this
schedule [3-5,7.501 o o

'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page of (-
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 .