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Jan 15 07 0915p Tom Anthony 563-875-7257 p.

2
FORM
Fop 1NSTAUC noNS, SE6 BACK OF FOAM
DISCLOSURE SU MMARY PAGE (Rev .01/2001)
DISCLOSURE
REPORT
Organizadon)
COMMITTEE NAME (Must be same as on Statement of
i,CNr fEU 5-f-A-F !-t~iQA) o 4d,-1 ~t ~~L V-410, s~ ~cr n
For Office Use Only
Con
"I IMPORTANT : Indicate type of committee you are reporting tar. Ind
(4 )CountyfLocai Candidate Audited _
( 1 )StatewidefLagislative Candidate (2 )Statewide PAC ( 3 )State Party Central Committee
(5 )County PAC ( & )Ballot IssuefFranchLse Committee (7 )County#'Clty
Computer
(S )Support Slate of Candidates _

Political Party

District (if Senate or House)

_ _ s15--Zta -'Z-5-i 48 / (SI07


RER (or person filing 's report) TELEPHONE DATE SIGNED
SIGNATURE OF TR

Routine Penalties Due For Late Fled Reports Range from $20 to $a00
SEE INSTRUCTIONS ON BACK AND COMPLETE T14E FOLLOWING SENTENCE :

m
I AM FILING A D6C6/2 7 &'-P- 9 ( 4 _0~>C ~ REPORT FOR ANNA (1) ELECTION I(2)NON-ELECTION YEAR.

(report date) Indicate one

ECHECK IF AMENDMENTTO REPORT DATED Local Committees, enter Date of Election

Check if this is final (termination) report and attach Notice of Dissolution Foam UP-3 . County & Loral Committees, enter County in
(You must continue to file reports until a Notice of DiSSCIU1fDR is filed .) which Election is held

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.) . . . . . . . .. . . . . . .. . . . . . .. . . . . . . . . . $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A : Cash Contributions totar (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) .. . .. . . . . . . . . . . . . . . . . . . . .. . . .. . .. .
fSchedule "roles to Candidates' Committees Onlv)
14
SUB-TOTAL.....3 (.02 1 ~
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) . . . D l l`
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) . .. . . . . . . ... .. . .. . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. .._ . . . . . . . .._ . . . . . . . . .. .. . . . . . .$ Zo G Z
"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 No
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
Jan 15 07 09 :15p Tom Anthony

1'EiY-13 -2003 11 :31 +r, - 563-875-7257


p.3
For InstMCilorns, See Back of Form _-
A MONETARY
CONTRIBUTIONS - MONEY TAKEN TN (Rev . 05(87') RECEIPTS
(Inrjudtlap onddate'a paltsarssl "ams)
El CHECK TWS BOX IF
CQMA 6TTSE NAME (Mustbe same SS On Shrfarne+tt of Onger*&VDn) AMENDING FORM
AGft~lr~ -~ 1~
Z!/W! fEL S4-4-4~ ~l~lo N vG"= A +~ 14' c,A1-

STATIr GANDIDAM NOTE: IF A COPtTRIBUTION IS RECEIVED FROm A STATE PAC.(POLMCAL AC"ON COIIuuTTIEO . LLSTTHE PAC IOENTIFIUT7ON
NUMWAAND THE PAC ChECB NUMOER IN THE DESIGNATED CO WUN, A USTOF ID Nuh10ERS IS AVAttARLEFROM THE IOWA EThl=AND CJ1LCPA"
DISCLOSURE DORM .

CAUTION: SecVon 8f9B .32A(a), lava Cads. probat the um of lniomlsdon copied trot» ropgms and statamam forsofic*rtg wntribu~a or
for any cormneldat purpose by avy Person other van stgpADq pabcsl comn*Meas.

MATE PAC ID UUnRBER NAUL AND ADDRESS OF CONTRIBUTOR NFIATIONSH(P AMOUNT IF FOR
RECEIVED (w appllcabte) TO (" MDSATI~ RECEIVED .FUND-
RAWDDNR) AND PAC CHECK (Eapplicaw RJUSER
NUMBER I I. INC(X1f

CKII '~3 20 1v t-j S6cowo '~ tc


o -- ~~ 50 SF G 0
Al All 119
O "oh" Q(_'
CKylt Z
U 5 ~ C, 3 13 ry- 3~ ~f
4~ nrr fE /D :5 -` J
Ao~ rv
43Zo sew SE't!ow.YJ ~= ov
cm a: n.tr _.2'-A Sv3 ~
Las

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IpoY

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Itx

CXS

C"
-_
toe

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_
IDS

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1I3~

CKs

SU&TOTAL

TOTAL IV h dPRYO of this sc*Sdlde)-


' OIWowta WW MOO" cswldacs CWWOwa ID aaaoaa ths refpaeoW uf any ntabva makY*
uvnwitw& W4+b-W* mmi be Www to ttaa almd dapaa dmnaanpuy Olond ! CaAfbsdfmb M
n(InNIas) Ileo a1lt (ewQuat M
mw"2P) (S" Page 2 of loans psdw)L n attTan+d d Cro+rtttbWdr a Us aims weind)dsls, fart Owe is no
tam" relsuonsmp, -*or nor a1+poesme' i1 PWO -L_ or__
Me reaolrhip aolumfL
Vol kA)
Jan 15 07 09 :16p Tom Anthony
563-875-7257 p.4

FOR WSTRLfGT30QNS, SEE BACK OF FORM SCH®lfL.E

BCPEND1TURES - MONEYSPENT FROM COMYITTfE ACCOUNT s )~ANETFTRY


(fiav_ OTA3j I~aE11DiTIJR~
TIJR~S

STATE1PAC OOMKVEES NOM FOR OONTRwroMS MADE To STATE%OE OR LIGISLATfW


CANDIDATTS. LISTTFECANDWTE MEMTFICATION MU MBt IN TWc DES1GHATTD CCIiIItMAND THE D CHECK THIS BOX IF
pAC CtS1C IAIIMElt FqR FACH Elti'fa4OMIFtE A LJ6r OF ID NUiBEFS IS AVARABLF =MillTHE fONYA AMENDING FORM
STHICS ri CAMPAIGN 00tfJ_OGUR6 9Qr1RO'.

COvurTTM H WE (Must be SWW won Sbevnent of Ol9wVWIdnn)

U ,1r f6-t) 5" 9 lin,Ya, b F =va-)A 7>,7~~.e f - / CAL. I G4to-,J


A -Fu tJ0
GANUDAI E NAME ANDADONSS TO V*IDitf PURPOSE AMOUNT
DATE ID NUM ER E]E9MIT1AiE (DESCRfBE TRANSACTION) E)tpfgc*D
E (if aPNwabb) psbwas+rarrah WAS YADE
( R) AND PAr-
CNECK
WURWER

I II q6 CK* EAsf zztiD s~-,


-
ep,~l~2~gLl ~Jan~
I0 r
[S-ib
tQ~~,5 ! ~'~65 9 X31 s ~Sd
r~ ,~oX ,-z -7
i~ 31f 7QNi~'w~t Z`.A ~X3 Z
I~t ~rn m ~1 NI ~ S t"4 fir P~a~
~.~ X/'Z
R 7
~ lI3oIQ'n C+?i# SEA UlG~L'rUgILGE .3?
S~ Z ~ S
_
cK* JO i -7 Po x i6 z s
d
S' o
iD#
v fGst'k--f-,
Clc# /0 I ro 13,, x 1377 CX~
g ~arJ ~-~2r eu-~ido ~ ~
X65_ M~ ids .lii" 5v 3 o
ID# epfll /1?'.r A. i Fc,- 5/-"9 f-6 U
°4'v
~a/z~I C UrGL elgi~"1 ;
~
~4Nl~E '--( T~ 55~
ID# - -

CK#
- _
FIDS

CK#

"' SUB-TOTAL $
TOTAL (Minot~alWe scbedoW sI b
lift aox A~.EaToc w1£s carrtrl~s aaY:
Prsmheses Of Owtain carnpaaigo pn3pLY ~ D fMat rram mud aho be inrenharled on Sdrodule H. (Refs
b SdtedWe H insinacforfc.)
bP P~ iO camarfisrd. ardv~.viag, fvrdiair~ap .
Schedule G by IE amaAM pvpaw and dole ofssdrtype atmWeradtaara rrr P aB . irr~aB~B" 9ss~iaes turret also be drawl fbaratarad on
de by the persm*f an tadaYF of theasadldvWs eaarrnlttae. polar to
Sdwdrie G irsbucforu and Iowa (lode 6RAAW3)(f) .)

of

(for SeAedrde B)