Disclosure Summary Page 1tp-0 ° ° R / Qy/) Vsov - B 5 I - DR-2

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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE


COMMITTEE NAME (Must be same as on Statement of Or anization) . (Rev. 05/2002) REPORT

4v- ~ Um ev°ylSoU- COVAvAk' 1tp-0 For Office Use Only


Comm . #
IMPORTANT: Indicate type of committee you are reporting for:
Indexed
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party (.4 .lCounty/Local Candidate Audited
( 5 )County PAC (fi )Ballot Issue/FranchiseComma °ee'° (`f )County1City gtjnlrat Committee
( 8 )Support Slate of Candidates 4 i Computer

CANDIDATE COMMITTEES ONLY:


Candidate Name r olitical Party

Office Sought -Vistrict (if Senate or House)


\~~qy\)Vsov- -b \5'i

S ~_. o ('0
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 %r\+i-*XOA REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one

OCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election


~U ,+ vLp, (p r 2.00 (~
E:1 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County & Local Committees,
which Election is held ,
enter County, in
(You must continue to file reports until a Notice of Dissolution is filed.)
W(v\v\e_,sln1. e~

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...... $ V V L/ i 6-e
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
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 02/96) RECEIPTS
(Including candidate's personal funds)
0/ CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

S
QrV\S C~Vl 0011V"l C
v
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 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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT


RECEIVED (if applicable) TO CANDIDATE' RECEIVED
(MM/DD/YR) AND PAC CHECK (if applicable)
NUMBER
' ID#

S JOQ CK# S-qw~ $ ~6-*0 .03


ID#

CK#

ID#

CK#

ID#

CK#

ID# '

CK#

ID#

CK#

ID#

CK#

ID#

CK#

I D#

CK#

I D#

CK#

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 (relatives by
marriage) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page 1 of 1
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 08/96) 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 .

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

-Po/' CpvNn v" ckt-e -.,


CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE CATEGORY' AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE I (SEE BELOW) I EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE TRANSACTION)
(MM/DD/YR) AND PAC
CHECK NUMBER

e;) I I ou CK# 9-co r,'A ~jjJQ29AL_ $<blm .&6

CK#

CK#

ID#

CK#

CK#

ID#

CK#

SUB-TOTAL I $ S-&V .0f


TOTAL (if last page of this schedule) I
$~~ ,
THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

'Campaign funds may be used only for:


(1) campaign purposes,
(2) constituency expenses, and
(3) educational and other expenses associated with duties of office .
Please insert the applicable number in the category column for each expenditure .

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 56 .6(3)(i) .)

Page

(for Schedule B)

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