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01/18/2005 03 :57 5535333335 .

JERI WATSON PACE 01/11

FOR INSTRUCTIONS, SEE BACK OF FORM FORM


DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of OrganizaOon) (Rev. 0712004) REPORT

For Office Use Onto


LPrrv~ OG~F? "7W ~ Comm . # r3

IMPORTANT: Indicate by # type of committee you are reporting fo - Loggea in


( 1 }Statewide/Legislative/Judge Standinfoal OP"tthin<Cahdidate
t ( 2 )Stat e(
:P 3 )StPg ae arty Scanned
(4 )County Central Committee ( 5 )County Can Iite . (t )City didate (7 ool Board or Other
Subdivision Candidate ( 8 )County PAC -( 9 }City PAC CanPolitc ( 0 )School 0d rd or Other Political Computer
PAC ( 11 ) Local Ballot Issue 1Subdivson _ _ Audited
CANDIDATE COMMITTEES ONLY: JAN ,5 "~ 200

Candidate Name ~ Political Party (if applicable)


)i, Late reports are subject to
/'t_' y, Al Ut I~ m Er C. ~-~t ~'/ c
possible civil and criminal
Office Sought ~ District (if Senate or House) penalties.

SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

I AM FILING A OC-Tf S lh, C1c :i .'ut REPORT FOR (1) ELECTION I(2)NON-ELECTION YEAR .
(report date) Indicate by ft ,,

Local Committees, enter Date of Election


CHECK IF AMENDMENT TO REPORT DATED L c-_ Z ~Z~

[] 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 DR-3 is filed.)

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
of the tart reporting period or must be zero if this is first report filed.) . .. . ... ..... .... .. .. .. .. .... . .. . .. $
41%p?
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 o Candidates' Committees Only)
SUB-TOTAL ..... $
27
I~bp .?
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) . ... .. .. .. .... . . . ... ... .. .. .... .. . . .. ..... .. ... $ 22r gf~(:k 13y _

-OUTSTANDING LOANS (From Schedule F - Attach Schedule F) . . . . . . . . . . .. . . . . . .... . .. . . . . . .. . . . . . . . . ... .. . . . . .. . $


CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) YES F~ NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
10127/2004 20 :45 5535333395 JERI 4JATS0t2 FAcaE 01/05

FOR INSTRUCTIONS, SEE BACK OF FORM FORM


DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2004) REPORT

2'74 . e6l ~c- Off. l Comm . 4


IMPORTANT : Indicate by 0 type of committee you are reporting for : ( .-J Logged In
( 1 )Statewide/Leglslatlve/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party
Scanned
( 4 )County Central Committee ( 5 )County Candidate ( 6 )City Candidate ( 7 )School Boaro or Other
Political Subdivision Candidate ( 8 )County PAC ( 9 )City PAC ( 10 )School Board or Other Pollbo-al Computer
Subdivision PAC ( 11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY :

Candidate Name Political Party (If applicable)


/J
C- Late reports are subject to
1J,-ra;Nh
possible civil and criminal
Office Sought District (if na - r House) penalties .

421
633_ 39gs
SIGNATURE OF PERSON FILING REPORT TELEPHONE

19c` 'x24
a
I AM FILING A C91 r -ZS ?c _REPORTFOR-(1)ELECTIO_
_ /(Z)NON-ELECTION YEAR .
(report date) lndjOWby

;Local Committees, enter Date of Election


17CHECK IF AMENDMENT TO REPORT DATED QCT 2 7 2`'04

71 Check if this is final (termination) report and attach notice of .Dissolutim-Form DR-3, :
(You must continue to file reports until a DR-3 is filed .)
ounty & Local Committees, enter County in
hich Election is held

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
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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
mmlttees On
SUB-TOTAL . . .. . $

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 a NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H)


10/2 7,/2004 20:45 5535333395 JERI 40ATSOtll PAGE 02/05
For Instructions, See Back ofForm (SCHEDULE
CONTRIBUTIONS - MONEYTAKEN IN A
(Rev.0103) I MONETARY
RECEIPTS
(Including candidate's personalfunds) CHECKTHISFORMBOXIF
COMMITTEE NAME (MustbesameasonStatementofOrganization) AMENDING
STATE CANDIDATES NOTE: IF ACONTRIBUTIONI
NUMBERANDTHEPACCHECKNUMBER IN THE S RECEIVEDCOLUMN
DESIGNATED FROMASTATEPAC(POLITICAL
. ALISTOF1 0 NUMBERSI ACTIONCOMMITTEE),
S AVAILABLE LISTTHEPAC
FROMTHEIOWA IDENTIFICATION
ETHICSANDCAMPAIGN
DISCLOSUREBOARD.
CAUTION: Section68B.32A(6),
faranycommercial Iowa Code, prohibits theuse ofpolInformation
purposebyanypersonotherthanstatutory copiedfrom reportsand statementsfor soliciting contributions or
itical committees.
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

El
t3GGr ~r Q
l~-(Q CK# 7
~!r - ~t -~6 v CP
I D#

ED
z-e"-
J Sa ~ .-c M o?J
wl
r p~ ( 4
CK# ~D
QGIo Z
ID# A'>'j T

ID#
C~,~ar a lh' Q'"A4 ,~`T Gl3 r

CK#

ID#
(k~ eve "c,/3
'-j
El
'70901 ..~Q-
wt tra~fh pk'?~
I L> - 2-0 CK#
/Z 000

-7 / ""i-7 lye

ID#

(~~ ~G» v X7703


E::]
-
ID#

_
_- C'r~
,toG El-
IDtk 1 `a crvr(
l l

-5,,~L'rr
CKO

CK# 3J-eZede. El
CK# X02.? 5/~ll a~a P ~.c c ,:z.6, , a -?/ Z El
CK# zS J70C . laves
.~~3~s SUB-TOTAL ! _
TOTAL (f lastpage ofthisschedule) 1~ 1
"Disclosurelawr
committee e q
.. Relations u i r e s candidatecommitteest o disdeee
thethird degree
hip mustbeshowntis omesame t h e r e l a t i
of consanguinity(o n s h i p o f anyr e l a t i v e making ac o n t r i b u t i o
bslnoo d relatwas) andafintry (mlat vos by Pagej --Of n t o t h e
marriage) I f sumameofcontributor ascandidate,
familial relationship .enter"notapplicable"in the relationship column. b u t there i (for ScheduleA)
10/2/2004 20:45 5535333995 -JERI i:)JATSON PAGE 133/05

For Instructions, SeeBack ofForm


(Including candi-datMONEYTAKEN
CONTRIBUTIONS e's personal funds) IN
SCHEDULE
A MONETARY

COMMITTEE NAME (Mustbesame7 asonStatementofOrganlaation)


(Rev. 07103) RECEIPTS

, 4 OCl-% 1 4 h., 
CHECK THIS BOX IF
AMENDING FORM

J
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), UST THS 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: Section88B.32A(8), 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 10 NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDDfYR) AND PAC CHECK (if applicable)
NUMBER RAISER
INCOME
~c?l r ~- ~ri k l~
L~

ID# 6.2 0,F9

._ Z Z 5Vl 3 f~ J. ~. Nc-J
to CK# ~J
13~'l~ (.c~c L -Ati DC vo
ID# 9~1VV CA
d' e10 :f jv r-f, f7S --
la-,25 CK# ~OJ
r i f -~o ~~ J~9 `7J fo d lo

I ,D -,2S- CK# /c
;o
/V,:,> El
/(h fz ~a ~~
ED
1 k?a . i4
07
CK#
..L..t d/e ~~x ; 1q 3Utor/V

CK#

ID#
c1Lr-D« vt~1P~LclrC
111L
~I'P <JVfOyy
- El
CK#

I D#

CK#

ID#

CK#

I D#
E:1
CK#

SUB-TOTAL El
TOTAL(if lastpage o1this schedule) $/ !oa
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Rslationsnlp must be shown to the third degree of consanguinity (blood relatives) and amity (relatives by
marriage) . If sumame of contributor is the same as candidate, but there is no Page
famillal relationship, enter'not applicable' in the relationship column . (for Schedule A)
1012712004 2
2 0 :45 5535333395 JERI WATSON FAGE 04!05

FOR INSTRUCTIONS, SEE BACK OF FORM :;ry:ti' "-


S""CHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY


(Rev. 07/03) E=XPENDITURES
STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE 'rO 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 HOARD .

6 -
COMMITTEE NAME (Must be same as on Statement of Organization)

-1' Z- +0 -g, CJGA (q2 r42


CANDIDATE NAME AND ADDRESS TO WRL3M PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Diabursemenf) WAS MADE
(MMIDDIYR) AND PAC
CHECK
NUMBER

3~0
(o -- ( ~~ aCk ~rr)~ Ir a /
CK
Id ;z /JV
-
ID# ~u c a
s ~%t~ ~h~~ Plac c. .rte ~
IS G~r : :a
~
/`f-cJc/l ~o~ t7~ 3
cK# c

1D# fag l
,
~Q~vrfkrl .l~Et .,(~
/

;-
CK#

I D#

1.0 ., .2,~ CK# fr 7 `'


I D#

~J 6-ca 14ev 34-4


ID# xvp de"'A /vtG Jrf l/
151a j-

/oaf
IG#

CK#

I D#

CK#

SUB-TOTAL
$l
TOTAL (if last page of this schedule)
$lw _-
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 personslentitien 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 personlentity on behalf of the candidate's committee . (Refer to
Schedule G Instructions and Iowa Code 68A .402(3)(i) .)

page -__------ -f-- ___


JERI WATSON - PAC3 E 05/05
10/27/2004 20 :45 5535333995

FOR INSTRUCTIONS, SEE BACK OF FORM


SCHEDULE
COMMITTEE NAME (Must be same as on Statement of Organization) IN KIND
',/- . (~ J (Rev .08197 CONTRIBUTIONS
j c_ho e
L.J CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED


RECEIVED NAME AND ADDRESS ~1 IF FOR
TO CANDIDATE OF IN KIND FAIR MARKET
(MMIDDIYR) OF CONTRIBUTOR ' (if a pllcAhlo) FUND-RAISER
CONTRIBUTION VALUE CONTRIBUTION
be -.o?ar7" /~'JC ~ ,
K~ j h 3
!'~'rcz/ o' t7 r
Q ~Pr,6'TF ~w ~ Qc~~~ / bt

1r~~ ~' 90

VYG Q1 cG .7sJ h

yn ' 9v 9~

~Y'JG®L c. ~ l h
/2 Z
rX 'v~ L.y
L
-~J ~'~ /llet~: G
1:17-

cJE /r.f fl~

El
t%2a
~~ Yu C' 17713,
.50l, 3
2s
El
F7
r

SUB-TOTAL

TOTAL (if last


Page of this
schedule)

/
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page _,,/ of
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
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 .

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