FOR N$TNUC77ONS,gEE BACKOF FORM

File with:
lowa Ethlcsand Camoalon
DISCLOSURE
SUMMARYPAGE
DlsclosureBoard 73p: lyyy tt?01!):ail statements
and reportsfttedby newcommtttees
510 E. 12ur,$e. 1A
DesMolnes,louraSOA.|9 ?nd repottsfiledby all comiifrees'for stateoffice hustOeniea
Fax 515-281.4073

Paftes musf;be frled elffircnialty.

COMMIITEE $|Alltg prrO* ffimeason StatdmentofOrganiatlonj

lMP.
OFTANT:tndlcateby# tt@ ot committeayouEEporung foi
( 1 )Stat@ld€tL€glstdvdJudge Standlnglor Retenton CLnOOate (
;"f,b | ',,".o,u".
(Rev.12l2@9) |
PAC (3 )Shte Party REpoRr
(t44 )sounrv
)Counb/ cenrd
Cenral commfttee
Commlttee (t S )County
! )Qu1ry gqdtdate
Candktare ( 6 )cfty
@ndtdaie ( s )countypAc i 9 loty enc'1io
subdtutston
)Cttv canitoite
Cani ( 7 )schi;t Board or Other polltcal
)School Board
( 10)School
)SctrootBoard
eoaro'or
orOther potiflcalSubdtutsnn
ixr"iFofflcat su FeC
11 ) Local Ballot lssus
CANDIDATE COMMTTTEESONLY:

Office Sought Distrist(if Senateor House)

Latereports
aresub1srtocossiO-
candldaie's
commlttee.
andthechalrperson, dffi
br anydtnerrypeorcommitie,ls tre inolvtuu"r
roponrnl.ii6r ff[ngflmelyandaccuraterepore.

OFPEBSON FIUNGREFOFT TELEP}IONE

REPORTFOR (1) ELECTTON(2)NON-ELECT|ON

YEAR.
(repoftcate) tndicate
ov* fil
ECHECK IFAMENDMENTTO
REPORTDATED
Local Commlttees,enter Dale ot Electlon

E!'cnecr r mb is final(termlnaflon)
reportandattachNoflceof Dlssotution
FormDR-3.
(Youmustcontinueto fite reportsuntlla DR€ is flled.) County& LocalCommitteeis,
enterCountyln
wtlcfi Elecdonls held

STATEMENTOF CASH ON HAND

cAsH oN H,ANDat the beginning pertod. frotaf of afl funds hetd by rhe
9!-tfr_eyeporilns
commlttge. This amount Musr bo the same as the cash on hand at the 6nd
of the last reportng periodor must be zero if this is first reportffled.) ...........,,............................
$ ebb- 7b
ADD TOTAL MONEYT'AKENtN THIS PERIOD
ScheduleA Cash ContribuUons total (AttachScheduleA) ('atso see in-kindbelow)..................
ScheduleF: Loans Receivedtotal (AttachScheduleD..................
ScheduleH: Total Salesof Campaignproperty(AttachScheduleH)..................
(Sclrdule H applle to Candldgte, Gommltt€sOnM

suB-ToTAL..._.......
S
SUBTBACTTOTAL MONEYSPENTTHIS PERIOD
ScheduleB: ElQenditurestotal (AttachScheduleB) (-also s@ debts and loansbelow)............ Abb.a b
ScfteduleF: Loan Repaynentstotal (AttachScheduleD ..................
cAsH oN H,ANDat the end of thls reportlnsperiod(if flnal reportbalancEmust ba zero)..........................
$ o-
-UNPAID BIIIS (FromScfreduleD - Attach
SchEduleD)........,......... ........,..$
'lN KINDCONTRIBUTIONS (FromSchedulEE - AttachScheduleE).................. ................$
*ouTsTAND|NsLoANs(FromSchechrteF-AttachSchedulsD.....'...............................$+
CONSULTANTBREAIGTOYVII(ScheduteGlnached?) ruO
_yES ,y'
GANDIDATECOMMITTEES
ONLY:
VALUEOF CAMPAIGN
PROPERTY H - AtrachScheduteH)
(FromSc{redute $
STATECOMMITTEES:Submlta reconciledempaign accountbankstaiementin Januaryof eachyear.
 -
FOR /A'SIRUC7O,VS, SEE BACK OF FORM lrHesetffil
ldslrsn$jii l SCHEDULE
I
- MONEYSPENTFROTUI
HXPENDITURES COMMITTEE
AGCOUNT B I uonernnv
(Rev.07l03)| D(PENDTTURES
gTATEPAc CoMMJEEES:NorE: FoRcoNTRB(moNs MADETo STATEWTDE
CANDIDATES' oR LEGrsrATrvE
LlsTTHECANDIDATE
lDENTlFlcATloN
PACCHECKNUMBER FoREACHD(PENDmJRE,
NUMBER rr.rrlrl oei-lo-r.inreDcoLuMNANDTHE
A LISToF ro r.rur,aeERS Is-/ivAiaele rnold fiE IoWA
E cnecrrHrsBoxrF
ETHICS
& CAMPAIGNDISCLOSURE
BOARD. AMENDINGFORM

coMMfrrEE t{ABtE(Musfbe sarzeas on state@

Ci{irnn,s& €;.* RoA^"\l Covner

CANDIDATE MMEANDADDRESS TOWHOM PURPOSE
DATE ID NUMBER AMOUNT
D(PENDITURE (DESCRIBETMNSACTION) EXPENDED
EXPENDED (lf appllcable) (Disbusement)WASMADE
(MM/DD/YR) AND PAC
CHECK
NL'MBER
rD# S46v^s &t;/$ F"aA-r*etnE
ll-tlu ct(# 6 6344
N)<r ele,-fi Nn $b2-3b
OZ-mol t<s,n+ 1*hrlt-rlDt, - (A4lfr'l
rD# ftcruryhaA O*le+
lt+lo ftrn - qaa)-s4o
ct(# #3 t41-n eXa*oi ^g-€K
*vKa-vr,fr flkpr Vn* {ka--tt
tw
\tez 113F &.ryv+/r+ fht't6s'
lt-9-t o ct<# Qofmr; F4<.fr,
frl.s,r TILH<
TAA*tr--'q),-
lur 87.7b
{on*;
It)# 5?tn^3 e ,$B >- la62bzLret $-
ll-8'to c1(# *bzLl4 'TA4-)Ly'u,-h-,,ny 2-q bb
Dzs fY\Bi tt e< -E
rD# (".se.[tS
+*6"-&rA e|'e.Yi*n ft*-J*
tt-l!-ta cK# v 2,b{
\'.fto?p<-\ & rez_

l6-D-ta ct<#
tD# tPdts nryfuir-- **& Nk^,*
Duq$(\t, t'r*< fr J,b{
tw ttiez. /ttltrt- Q.oerf
l-l,I- tl cI<# erfftuLizatioei {3, lo
D. ?[w\,te< g.-.
tD#
cK#

)TAL $
TOTAL (lf lastpagaof thlsschdule) $ ?U^1L
THISBOX APPLIESTO CANDIDATES'COMMITTEES
ONLY:
Purchases of cE taln campalgn property cosfing $500 or more must also be lnvenbried on Sdredule H. (Refer to Scfiedule H hsfneflons.)

Expendlturestopersons/enlilles provldlng consultlng, advertlslng,fund-rablng, polllng, managlng, organtdng seMces must al8o be dEtail ftemizd on
Fl 4{" G bythe amount,p.uryoT,,9nq94e oJ99chtypeof expendftrremadeby the perso-nlenfi$-on
beliaf of the candtdqte,s
commitbe. (Referb
ScfieduleG insfucfloneand lowaCode68A402(3)0).)

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(br ScfieduleB)