Disclosure Summary Pa: T%Cler'

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FOR INSTRUCTIONS, SEE BACK OF FORM

DISCLOSURE SUMMARY PA

COMMT EE NAME (Mustobtsame aeon S(a(esne~tf o'&

IMPORTANT: Indicate type of committee you are reporting for: 121


(1 )StatewldeN_eglstatNe Candidate (2 )Statewide PAC (3 )State Party (4 )County/Local Candidate
(5 )County PAC (8 )Ballot Issue/Franchise Committee (7 )County/City Central Committee
(8 )Support Slate of Candidatrp
1172V d~
TREASURER (or person filing this report) TELEPHONE DATE SIGN D

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 t%CLer' 4 or, 3 Il ZC10> 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

0 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 .) . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . .. . . . . . . . . .. . . . . . . . . .. . . . . .$ 23 z . "33
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) . . . . . . . . . . . . . .. . . . .. . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . %351,. o e
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . .. . . . . . . . . .. . . . .. . . . .. . . . . . . . . . . . . . .. . . . . . . . . ..
Schedule H : Total Sales of Campaign Property (Attach Schedule H) .. .. . .. . . . . . . . . . . . . . . . . . . . . . . . .. . .
(Schedule H applies to Candidates' Committees Onlvl
SUB-TOTAL .. . .. . $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) . . . . . . . .. . . . . . .. . .. . . . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F: Loan Repayments total (Attach Schedule F) . ... . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .

CASH ON HAND at the end of this reporting period (if final report, balance must ti t 8,oq . i -zr
be zero) (Attach DR-3) . . . . . . .. . . . . . ... .. . . . .. . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . .. . .. . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . .$.

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


IN KIND CONTRIBUTIONS (From Schedule E -Attach Schedule E) . . .. . . . . . . . . .. . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .$ O
OUTSTANDING LOANS (From Schedule F -Attach Schedule F) . . . . .. . .. . . . . . . .. .. . . . .. . . . .. . . . . . . . . .. . . . . . . . . . . . .. . .$
CANDIDATE COMMITTEES ONLY:

CONSULTANT BREAKDOWN (Schedule G Attached?) YES V"'NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ t'.>


For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. O6/97) RECEIPTS
(Including candidate's personal funds)
QI/ CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Otyanization) AMENDING FORM

ors 4C-4c-4

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECKNUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 66B.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 +1 IF FOR
RECEIVED (ifapplicable) TO CANDIDATE' RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

cK#,2yg3
41 .32 .6? sw r1 ~ ;-t om
D e3 wt- o, vtr-s . 31'3
ID# M Lcen
C,- U.eh I , n~ .
27of tL-w"'er".i
CK#
_ I?~(o l ~? p5 ~,,,, ~3 t U
n e~ t ZS~ .vc)

ID# (~x q r _ 5l~ S

CK# .3 Z4 /tc~ilt ~.
7
/v . t V . cal
ID# Dry n k c
CK# D C~J~s w~ ~~uv n cJY+-c .Z S, U,:1
y ~h G
ID#
/0 . lL " tv t
CK# l36~i f,34y/ r!/(fir /l~r~-t ~,S~ . Uv
Q~ ~Y! c'/ r, is
&-u
ID# ~I I w, .vA Si ever5
I Of AVI
CK#
0 07 , TO,

ID , L - vl
ID# Jet H eW I- a-a )~ AceQ'rVV
/ 7l E
cK#
Mvl 4~e i:-.c SID3r7
0.s- 5
ID#
Oe,br4- r J ..erc," Phll/~Ps

7j4 C :4,--J s v3 i y
ID#

CK# ~
30 jLl-e- o ~-
arlov-li , r
ID# FAed
X
lv " 7., vl
CK# It z-d -y s
1J-" h-up wti .L fi~ 3 I
SUB-TOTAL

TOTAL (iffast page of this schedule)


S
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to thethird degree of consanguinity (blood relatives) and affinity (relatives by
marriage) (See Page 2 of forms packet.). If surname of oontributor 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 SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN
(Rev . =97) RECEIPTS
(IndudIng candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

/74 It-4

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL . ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECKNUMBER 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 IF FOR
RECEIVED (ifapplicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (If applicable) RAISER
NUMBER INCOME
ID* r6/
~Lt v/
$ 'r
CK#

ID# Jud /k-444ff 4 ;.lon wfiifd- ~.


0 S 01 &S~ - / ~ ~ ~vh {
CK#

u4 <-,
ID#
e-
CK# er l c
c~ ..e5 h-t t71 KAd ,

CK# l5g75
.
~~
tiw ILS~
atc) ~. -c /001
,

~'K,li cllc c.( / s


ID#
5 K 5,`-e f ,t-r
,
CK#
w. urn ~-t
-tsse
>- Wu
ID#
Jim wn l i eiM
jU. CK# 6 I s L~u 4 kin l` y !~ P'YI -c
I,~ c5 /1? v i nt S .03J-I

CK# 3 ~v 5 ~~~ Tl~-yam _


lfr lls v~ ~yI ..~
f?er , n s .321
/0, ~ ' a) ID# 1 ~t ~J.t ~ ~j rta l LJt.,1 i t
-
CK# '340`t S 0-fir," ~411(5 Ao /t
e-0,e5 f'VL v , vt-t&

J H-a,LrR _
wI
CK# U! Sw

r ID#
I n4 pl a330'
!) ~ ~ . r'i1
CK#
~ S la'V1. v ~ viJ S
SUB-TOTAL

TOTAL (Iflast page of this schedule)

Disclosure law requires candidate committees to disclose the relationship or anyrelative 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 conhibutor is the same as candidate, but there is no Page
familial relationship, enter 'not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Foam SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN
(Rev. W97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Sta)ement of Organization) AMENDING FORM

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 . ALIST 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 forsoliciting contributions or
forany 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-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

i011l of ~rr~ i3ookN


$/DUD
ID#
7 o
CK#
Ars mores, dr, S-D3 C,
v(
ID# 6 6 10 / .Tpw,- tee u," /'rsFc~
CK# 2 ~3 s ,r;- / E1Esf LU~LrS f c3 n -c lC,O . .~
c5 /ka,n`s , n s:ef
ID#
f),L", zl 2>ai-r-s
1741 3 -206, C
~~; T
~ U ,
CK# 4" 0
Moi`tr%, P ^ .52) il7
-,
v)
ID#
Joe -t ku -fh 'f.
L"erS
3 116 SL L wl w, I V`-'f-`
.
CK# 4r n v jj t
I~-e-s Vtty nmss,
ID#
2c, vv, eo
~, Ju .t
CK# (3 1!9, S i.-t% 1114.. (C I *% (e-1 /1. cIN -C
Z
S
De r'Yi6i1ieS 5~, S
ID#
1041
CK# i'L ~i vk .e
J~ ZI AJ W U ' f
Wl1 k .~ e 1'31

ID# ~ &r1 bbl


Ckaa~

t,v
ID#

?v 1-~'~ n0ot. -e
CK#
/1~ i~-~-ov~ ;a3 f y
ID#

J Lz.,, FtAl n n 1'' -


CK# (2 f'L~s YI
e? n J~ sb~
li ' pi ID#
/yL<>b% 4,c-,, EiSe ti ci-1
A-hT vrln -c jo0 . (9,L)
CK# 2-,. bt1A &-I-
fT'~Lch hC lA- 30 3 C-> (-

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, butthere is no Page Of
familial relationship, enter 'not applicable' in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev- 06197) RECEIPTS
(Including candidate's personal funds)
a CHECK THIS BOX IF
COMMITT E NAME (Must be same n Statement of Organization) AMENDING FORM

JfiC s
v
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECKNUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION : Section 66B.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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

w
ID#

cK# L°t 4v9(


nwi -e_ $ /5Z).00
ID# Zvh er}5

, "f. SZ~Li
ID# e4r~ c IIG 4,!leti
ll~a Lv .v i CK# ~ ZZ ~~ h o .~ -c loo, v~

K i%--6 LIibl, 5fM


ID# f
` : .n rS« l/~, ~O lit..

ID#
~bb e1eS-h-e>^
!l 2 U( ~'O 'SOCK , w
CK#
L~o wc-S, o 5-D U)
ID#
pa-G ;71le-lk Gfi~ 4 ewl
&G t r1 ~S . ok
ID#
4~97/
11-11
Y~V,4 14
n -e
CK#
1L 57,E 3 i
ID# J,

cK#l1 j S7-1'-3 2-)

cK# 3g~ Fr k , i ~~ l4 ~~ IZG'A t

ID# ztn t

CK# 3G + - nv .1i~ f-26'Yu

To a n'
SUB-TOTAL

TOTAL (iflast page of this schedule)

Disclosure law requires candidate comma 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 __4 of
familial relationship, enter'not applicable' in the relationship column . (for uIs A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN A MONETARY


(Rev- OB/97) RECEIPTS
(Including candidate's personal funds)
/~ CHECK THIS BOX IF
COMMITTEE NAME (Mustbe sa on Statement of Organization) AMENDING FORM

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEES LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECKNUMBER 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 +1 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
11- ~
,u ID#
ae4/jA ?- Aju. ,irjt2 K~sIvfv
CK# i-7 16'
t" .v- r I
ID# r _
CK#
q lvl ~
ID#
S -7~`l -~ N't"vv k-c3 ri
CK#

ID# ",V4 - 0IUYGr4 at 8 '-'~- ,


CK# yl x .-_30 v
ro _3<D
ID# '~ . Caok
11 k -tJ CK# q o ZZ M,~,s ~q e--e ~ - L
ID# 94 t G ~,u-e ,~~'e r r
CK# -7 ( 3 - 1-1 nul~ .~
0,43 61- 011-4,-) 5a 31 Y
ID# <5`6-u-c .t ~Sa.K ctc_' ID l'J, H.s o r,
l l . -( I CK# y36 f
LIc.A- -f- 10 m , .sa 6s"
ID# r
.
CK# /716 e 31 s &F (/lv1ti .Z. 5U
~s hLv~cu7 5-e31 .7
ID#
J
CK# H `C

ID# any h
.u +
3~tk fr> r v,-c1
CK#
1~ 'li t SD3 t
SUB-TOTAL

TOTAL (N 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 of
familial relationship, enter 'not applicable' in the relationship column. (for Schedule A)
For Instructions, See Back of Fonn SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev. =97) RECEIPTS
(Including candidate's personal funds)
~/ CHECK THIS BOX IF
COMMIT E NAME AMENDING FORM

STATE CANDIDII
- Td NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEES LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECKNUMBER 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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# "yZti I ~~.~ hC'
J l -~ 1
L5 /~doGo+c'S ~ 5ti3!
ID#
Re- n
O -C
,e lit v f it. r_ S _ L(
ID# 1v ~lh~r f-,43~f,~/ J~ " w-lox
6 711 t/
01 CK# , _ I 4 D~'1-2
lh
ID#
~v Joss L 4 ~l
0/ CK#

ID#

Yrti
ID# U.r~ CtceA k, a h ~' l3 f 7-

CK# /S-z30 - '-l I PL . nUlp~


$~"3
4" Gam. r ( Sort
ID#
hJ
sis
t
P~ ' ~~. ~20rf c
~2 CK#
0 -,-n - n S .S~'v3 D 6
ID# 4-
pcrtA oU A tgULhI.C " 'J zi ire t'1
CK# 1-t 1 b s 6r&y
.e - rv
~ 01 +tj
ID#
ID ct v% LA) I N49 crrr-Re--.
)2-40 - G~ f2Ui'1-P I/ 6V
cK#
1,6-> D r~l Svg s
ID#
~aa
~1
CK#
sv
SUB-TOTAL

TOTAL (iflast page of this schedule)

Disclosure lawrequires candidate comma to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to thethird degree of consanguinity (blood relatives) and affinfly (relatives by
marriage) (See Page 2 of forms packet.). If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable' in the relationship column .
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
Q/ CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

STATE CANDIDATES NOTE: IF ACONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECKNUMBER 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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#

CKS
2- 2- ZU
ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL

TOTAL (If last page of this schedule)

Disclosure lawrequires 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 forma packet .). If surname of contributor is the same as candidate, but there is no
familial relationship, enter 'not applicable' In the relationship column .
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev. 09/97)
MONETARY
EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 0 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)

1 ` -C--c
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (ifapplicable) (Disbursement) WAS MADE
(MMIDDIYR) AND PAC
CHECK
NUMBER
ID# oc~ S-(u =~n S
at 3S4 i
.=r .5~rs~~l $ 2)1=Oe-)
CK# Vkl
I ID . a"` 5'7~ 5 r L

-ut ID# jtt,~i"'tx <..=,F=.~,.<<./ <_a w+v, 6 «+i tw.,

CK#
D~
S t 1 t .c .. . 10 "'

0i ID# (A t Poe t-w, C


.,,
Z-3-' oc

DjS ~` ;~rt5
I D# L ?L. v
. tJ r ; n .1

I L rz
CK# pJ~ t,~

a rti . S~3rf
ID#
~, it .
Lt"" v" s rtn ad
cK#Ses

- ID# ` S. POs t o S l.>r r / ,t -'7icvv~ rywt=/.e,/. /oc~ tz' J~ , U(.%


47
CK#

. cum ~ercr^
ID# A4, td WX1 f{-°- S V CSI (,0
. c1u
J~d ;Lf .Ul
CK# ~i

L ~a o
CK# I-D 5

SUB-TOTAL $ /3~SZ p d

TOTAL (Iflast page of this schedule) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :


Purchases of certain campaign property costing 5500 or more must also be inventoried on Schedule H. (Refer to Schedule H instnxtione.)
Expenditures to personslendfes 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).)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev . 09197)
MONETARY
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 tatement o Organization)

/I l, kt
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (If applicable) (Disbursement) WAS MADE
(MM/DDIYR) AND PAC
CHECK _ _
NUMBER

14 lt e. S

3 i ~-
1D#
-(ZC
~J~LS "ars~~f
CK#

ID#
io, 160-,
CK# ~-~-

Sv3 +~
ID# i1u&c vt1
(,ut c, v. xv,S
cK# S'Z '~ rk~ o3t(
. ID#
t 1 L .U
1 j,(~ cc -~c f clS C.& rc~. .- t+~

ID# t S , Pd S f u S-f .~V /°0, s r~ g. ui


CK#
~~ I`L~Oruc~r ~h Serif
ID# ltiGrrtto v ~ ~= >
t3U t.c.w .vcv s~ _
CK#

CPW
la , 5v3~ y s - L
WP"--t 0 17-0
TOTAL (N last 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/entitles 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 candidates committee. (Refer to
Schedule G instructions and lam Code 58.8(3)(1).)

Page - 2- of :2 41

(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
B MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT (Rev. =97) EXPENDITURES
STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 01 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~enf~wn)


Sto
Y

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (ifapplicable) (Disbursement) WAS MADE
(MMIDDIYR) AND PAC
CHECK
NUMBER
ID#

CK#

I / ~/ Uf I Lx.c ti D f)A otW rr,~ n uu-{ l vd


CK# 572 8

01 ID#
L
cK# 2
0..s 4y7a rn "S .
ID# pvgynS Tcv p~'~7uS~- o
Lln I v.~rs ~
CK# 53(6
ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL

TOTAL (N lastpage 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 penwnstentlties providing consulting, advertising, fund-raising, palling, 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 58.6(3)(1) .)

(for Schedule B)
FOR INSTRUCTIONS, SEE B&4CK OF FORM SCHEDULE

B MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . =97) EXPENDITURES
STATE PAC COMMITTEES: NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 0 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.

COMMITTA.g NAME
_(Must be asatement of Organi ion)

CAN&DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDIYR) AND PAC
CHECK
NUMBER
ID# rJ~L~S7rt~~ S~L1~
vACC
~u~
CK# 72&.- g

7A0 I

b<- 0 b
iovi t~wl
ID#

CK#

I D#

CK#

I D#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL

TOTAL (If last page of this schedule)

THIS BOX APPLIES TO CANDIDATES' COMMTTEES ONLY:

Purchases of certain campaign property costing 5500 or more must also be inventoried on Schedule H. (Refer to Schedule H Instructions.)

Expenditures to persons/entities providing consulting, advertising, fund-raising, polfing, 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 58.8(3)(1).)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
D INCURRED
coM~ NAME (Must be saw as an nWWon) (Rev . 08198 INDEBTEDNESS

CHECK THIS BOX


IF AMENDING
NOTE: Debts previously reported that remain unpaid rust be included an this FORM
Schedule, as well as any new obligations Inaxrod in this period .

M 'incurred debt is a debt for


DEBTSIOBLIGATION8 REMAINING THIS REPORTING PERIOD goods a services ordered a
(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDULE F) received, but not paid for by the
end of the reporting period .,
regardless of whetheran invoice
has been received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MM/DD/1'R) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'

C r P .~, KA-, ~
~2 - 3 - U~
I? 39 CJ ra-, cY .7
DI-4:3 K40 1 wA 4 ' ~ S13)6

SUB-TOTAL $

TOTAL DEBTS OWED BY COMMRTEE AT THE END OF THIS REPORTING PERIOD

'If actual figure is unknown, show "estimated' beside the figure. par. / of
(for Schedule D)

CANDIDATE COMMITTEES NOTE : Into


*Incurred Indebtedness also includes each persoNentily wMh whom the candidate's committee has entered a contract during the reporting period for future
a continuing perfomrarrce . Enterthe name of the consultant who provides a procures services for Items such as advertising, ford-raiskq, polling. managing, or
organizing services. Report on Schedule G the nature of performance and the estimated performance reasonably expelled dthe consultant.

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