Disclosure Summary Pa DR-2
Disclosure Summary Pa DR-2
Disclosure Summary Pa DR-2
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DR-2 I DISCLOSURE
DISCLOSURE SUMMARY PA (Rev. 11/97) REPORT
Penalties Due For Late Filed Reports Range from $10 to $400
CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) ... .. . . . . .. .......... .. .... .. ........... ...... .. .. .. ......... . . . ............ ...... ............ ........... .$
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:
YES NO
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 02196) RECEIPTS
(Including candidate's personal funds)
Q/ CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
sT~.A CANDIDAT NOTE : IF A C NTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
N BER AND THE PAC CHECK NUM ER 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 .
CK#
ID#
cK#
ID#
_ CK#
CV
ID#
- ~v
ID#
&G.~`~~
CK# i
ID#
`~ CK# (P L
A
ID#
CK#
_ G( / ~ ~~ ~G aC~~S
iv#
CKI
ID#
a3~~-S G~i dU
SUB-TOTAL
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
(for Schedule A)
familial relationship, enter "not applicable" in the relationship column .
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN .. . (Rev . 02/96) RECEIPTS
(Including candidate's personal funds)
F/ CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
^ V
~ce
STATE CANDIDAT NOTE : IF A CIQNTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
N BER 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 .
6lPlo LtJrz
, cd
$
CK#
. //~ o3c
ID#
CK#
ID# ~~ 2 1Liw~Af
"I~ CVC.lr ~ 'Y~
717
ID#
cK#
ID#
2Dx_
CK#
CK# 757
ID#
C
7/
6 -~ o C'
ID#
`
~GYo3 f,,i-A
IP
CK# ~ 333
~ 1~~a ~,5v so
ID#
CK#
Ary >c . 03. 5 ^ )
SUB-TOTAL
90
TOTAL (if last page of this schedule) -
3
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
of Page .
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 Schedule A)
For Instructions, See Back of Form SCHEDULE
STA''E CANDIDATE.~/NOTE : IF A C~NTRIBUTION 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 .
JlAe
ID#
O Latl~ .~, O. ~..
/l -5
-t-r1 ,~ ag,
ID#
t9a ,,
.Z
CK#
.~~~ .. p 12
CK#
01 ;!2k4aicX ~J Jr,
ID#
ID#
CK#
ID#
r
CK#
SUB-TOTAL
STFy1"E CANDIDATgg NOTE: IF A CIQNTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NWBER AND THE PAC CHECK NUM13ER 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 .
' ,
ID#
'i'tititlti. , ~ti
~ ~~~ ~ i
C
ID#
CK# )f1-5 i
CK# 5107-17',W:,
v
ID#
ID#
le
CK# w` ~`
SUB-TOTAL
3
TOTAL (If last page of this schedule)
$ 5~
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
Page - _ of
marriage) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no
(for Schedule A
familial relationship, enter "not applicable" in the relationship column .
POH INS I RUCTIONS, SEE BACK OF FORM SCHEDULE
~)l , rG' rl !~
CANDID 41E NAME AND ADDRESS O WHOM PURPOSE AMOUNT
1 ; DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
D#NUMBER
I
CK#
M1
v
c r.2;7
CK#
Zyj1AK, kr,,~ u",
ID# ,
,-~.- I
l/l~t~Crl~c ~vG.C~C~
ID#
w y ryi
IN
CK#~ "^
u-(o o 76
ID#
CK#
aZ 7~l wt~L o
ID#
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 persoNentity on behalf of the candidate's committee . (Refer to
Schedule G in structions and Iowa Code 56.6(3)(1) .)
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
71
ANDIDATE % NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
~~DATE vID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# BrerrWVirt
ID#
CK# /O& % 7
r7
ic,- 7-0
ID#
CK#
~~~ 1/7e ~r~
EZZI
vw v
ID#
12
'32r, C
1
Z
U~77 7~ -
ID#
4
r2 5L
G
.,~ CK#
, K
f 2&-
17
/C-lo p
f7
CK#
l~1 ~p
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 56 .6(3)(i) .)
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FOrfM SCHEDULE
CK#
ID#
CK# G'
77 d ~? 0
r .~~/ ~Kaj~Cl r ` 51S~i a ~ ~r
CK# &~,~'
ID#
CK# f3 l~ %7n
ID# `
CK# , 7~ ~ , ~~L 7 7
1D#
8-5-40 CK#
v
ID#
11 CK# 77
CK#
rzti'A ;~~ ' I l Z2v~' l
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 personslentifes 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 persoNentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i) .)
(for Schedule B)