FOR INSTRUCTIONS, SEE BACK OF FORM DISCLOSURE SUMMARY PAGE [COMMITTEE NAME (tiust be same as on Statement of Organization) ee icescirnens Political Party (if applicable) District (if Senate or House) Vel Cet, SIGNATURE OF PERSON FILING REPORT 3-293-/173 TELEPHONE Sb3 Bek [Form | DR-2 DISCLOSURE (Rev.07/2004)} REPORT coms ASO S Late reports are subject to possible civil and criminal penalties. Lo-lY¥-o€ DATE SIGNED LAM naa ___ JO jq_-ot REPORT FO (report date) Indicate by # CICHECK IF AMENDMENT TO REPORT DATED Ci check if this is final (termination) report and attach Notice of Dissolution Form DA-a. | Gaur (You must continue to file reports unti' a DR-3 is fied.) LECTION (2) Toca Baurty & Local Gomis, ortar County in wwhicn Election is hols )NON-ELECTION YEAR, 7 Commitaes, tor Date of Section STATEMENT OF CASH ON HAND CASH ON HAND at the beginning of the reporting period. (Total of all funds held by the committee. This amount MUST be the same as the cash on hand at the end cf the fast reporting period or must be zero if this is frst report fle)... 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. ‘SUBTRACT TOTAL MONEY SPENT THIS PERIOD ‘Schedule B: Expenditures total (Attach Schedule B) ("*also see debis and loans below)... ‘Schedule F: Loan Repayments total (Attach Schedule F) CASH ON HAND at the ond ofthis reporting period (i final report balance must, s L46oS S00 LEIS 4S 4A ob6L. 67 TE T6 bbe zero) (Attach DR-3) $ INPAID BILLS (From Schedule D- Attach Schedule D) $ = “IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) - oS a “OUTSTANDING LOANS (From Schedule F - Attach Schedule F). $ DATE COMM! ONLY: CONSULTANT BREAKDOWN (Schedule G Attached?) ——YES __.NO VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) sFor instructions, See Back of Form ee A MONETARY CONTRIBUTIONS ~- MONEY TAKEN IN ravorem | “Steaers | eucng canes s carsonai fines) i } Cl cHecK THis Box IF Tconana NAME (Must be same as on Statement of Organization) AMENDING FORM | y Ld 7 Mires STATE CANDIDATES NOTE:d# CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFCATION NUMBER AND THE PAC SHECK NUMBER IN THE DESIGNATED COLUMN, AUST GF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD. CAUTION: Section 688.32A(6), Iowa Code, prohibits the use of information copied from reports and statements for scliciing contributions or for any commercial purpose by any person other than statutory political cormitiees. TE PASTE THE HOARE OF COMRETOR | FETATONGH | ENOUNT TF FOR recenes | ‘appicane) Tocanowate: | receveo | ‘runo- aauoor | ano emccrecK Ce ales) anseR NUMBER Deen 4 | ncowe ‘SUB-TOTAL ‘TOTAL (if last page of this schedule) + laciosuce ln requires candidate commitees to cecige the relationship of any relive making a cortbuton tothe ‘commiee, Relavonship must e ssown tothe (ire degre of consangunty (ood relatives) are ay (rive By Imarage) _ H sumame of controutor le the same as cancite, Bu ther no Page of famiialrelaionsrip, arter"ntappicable”in the relatanshi column.For instructions, See Back of Form ae A MONETARY RECEIPTS CONTRIBUTIONS ~ MONEY TAKEN IN | Rev. a7703) (Uncxcing canaidate's personal unds) OF cueck mas 80x iF | [COMMITTEE NAME (Must be same as on Statement of Organization) ] | nena FORM | stare canoibaTes nde: sf 4 CONTRIBUTION Is RECEIVED FROM A STATE PAC POLITICAL ACTION COMMITTES), JST THE PAC IDENTIFICATION NUMBER AND THE PAG CHECK NUMBER INTHE DESIGNATED COLUMN. A LIST OF i NUMBERS S AVAILABLE FROMTHE IOVIA ETHICS AND CAMPAIGN DISCLOSURE BOARD. CAUTION: Section 588.32A(6), lowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or for any commercial purpose by any perscn cther than statutory poltical committees. {BATE | PACIO NUMBER | NAME AND ADDRESS OF CONTRIBUTOR] AELATONSHP_] AMOUNT | TIFFOR | RECEIVED CF appteabe) Tocanoware: | aecene | “runo- qawioorye) | AND Bac crEoK (tappieste) aalser NuMaer INCOME fy pe Pitlind Kamo ¥ 7 W138 -feh Ave Zo soe cK M4 /ob| S27ar 20 ( oo art Gite. = [Cb rvernehe nf S2739 xs sya ter, ot oF ee oxi + 153. id -22 LE re oF yon oKe id eo cKe 3s DF = pda, <= cK ] 1D cKe oF ckit ‘SUB-TOTAL TOTAL (if last page of this schedule) + Discosure aw requtes candidate coentes to disse te rlatonshi of any eave making contribution othe cammitee. Relatorsho must be shown tothe third degree of consanguinty (loc releves) ane any (reves By 2,2 mamiage) ._ If sumiame of contributor is the same as candidate, but there is no Page of. ‘amilal veiadonshi, nto “notspoicable’ inthe relaionship column Far Sehasle A)