MAY-18-2005 WED 03 ; 18 PM

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INSTRUCTIONS, SEE BACK OF FOF;M FORM

DISCLOS URE SUMMARY PAGE DR-2 DLSCLOSUr2E
(Rev . 0712003) RE PORT
,OMMITTEE NAME (Must be carne as on Solenhent of Organizaboui)
For office Use Only
Comm- #
*)e in
IMPORTANT : Ind'rmte type o1 cornmincc you are mpottnp fur:
Scanned ,_....-- .~ .--.-
1 ~S1911~WIdCrLer~F.tt7tiV0 GandidaU ( 2 )St2tcwtdd PAC ( 2 }SLiW Party ( 4 )County/Loeal'Crsodidatr Corrqvuter ,
i 5 )Caxmry PAC ( G )Dsdot Ls~a,rFrandu :A Comma, ( 7 )County/City Central Ccrtmraw.
Audlh:d .,__
CAND(DATE COMMITTEES ONLY :
Candidate N ;.rne ) POIiUCal Party
ln~~hf L7vr~fll~~ J I _)enl4eru L
Office Sought District (if Senate or House)

SIGNATURE OF TREASURER (or parson filing this report) TELEPHONE DATE SIGNED

Late filed reports are subject to possible civil and criminal penalties.
SEE INSTRUCTIONS ON BACK AND COMPLI-1- E THE FOLLOWING SENTENCE :
I AM FILING A_ -6 -- / / - REPORT FOR AN)A (1) ELECTION )(2)NON-ELECTION YEAR
~repod date) Indicata one

[CHECK IF AMENDMENT TO REPORT CATER Local Cornmitr&,-, entor Dote of Election

County & Local Committed, tuner County In

tdft;heck it this is final (ten-ninabon) report and attach Notice of Dissolution Form DR-3 . which Election is held
(You must continue to file reports until a Notice) of Di>>olubon is Ned .)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the) reporlilho period . (Thi is the total of all monie, hold
by ilhc committee . This amount MUST" tV,e the Same as the cash on hand at the end
of the Last reporting period . or must t* zero if this is first report filed .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
ADD TOTAL-MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions Iota! (Attach Scnedulc A) ('also see in-kind glow) . . . . . . . . . .
Schedule F : Loans Reeeivod total (AIUdh Sch?dule F) . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .
Sil)cdule H : Total Sales cf'Carrlpaign Property (Attach Schedule H) . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . .
(Schedule H anelies to Candida te' Committees Onlyl
SUB-TOTAL ..... $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule 6 : Expenditures total (Attach Sd)edule e) ("also see debts and bans below) . . . .
Schedule F : Loan Repayments total (Attarcil Sche(iulc F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . .. . . .. . . . . .
CASH ON HAND at the end of this reporong period (i(firial report, balance must
zero) (Attach DR-3) . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . .. .. . . . . . . .. . . . . . . . . ., . . . ._ . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . S

-UNPAID BILLS (From Schedulo D -Attach Schedule D) . . .. . . . . . . . . . . . . . . . . .. . . . . . . ... . . . . . . .. . .. . . . . . . . . . . . . . . . . .. . . . . .~.

`IN KIND CONTMBUTIONS (Frexrt Schedule F-Attach Schedule E) . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . ~
. .OUTSTANDING LOANS (From Schedule r - Attach Sc-nedula F) . . . . .. . . .. . . .. . . . . . . . _. . . . . . . . . . . . . . . . .. . . . . . . . . . . g _ . .. ..
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREJUCDOWN (Schedule G nttadled?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Sched0c H) ,~ $
 MAY-18-2005 WED 03 :19 PM
FAX N0, P, 05

r=OR 1NSTRUCTIUNS, SEE BACK OF FORM SCHEDULE

B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 07/03) EXPENDITURES
STATE PAC COMMrfEES; NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANOIDATS IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND TI , IC [~ CHECK THIS Box Ir
PAC CVer-K NUMBER FOR EACH t W'ENDITURE . A LIST OF 10 NULiBERS IS AVAILABLE FRObt THE IOWA AME-NDING FORM
ETHICS d CA1APAIGN DISCLOSURE 50AR0

COMMITTEE NAME (Afus! be sarnE as on Statement of Orgnniza6on)

NAME N40 ADDRESS TO WHOM

EXPENO!TURE
(Oi,-bursdrrrcM) WAS MADE

SUB-TOTAL
TOTAL (if last page of Mis schedule)

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:

Purd,,1::K. of corLnin campaign propriy cavirng S5OC or nwre mus! j1--o be hwontrvied or Schaduk: H, (Refer to Schedule H knstn~ct"ls.)
Cxpendirun :~ to pe~rsnnskjntilies providirK3 con;AIlund, bdvertising, Ivnd-raising, poning, managinro, orgaNzir,g cervices
.must al9o bd dG.L?il mxniZed cvt
Schedule: G by the nrnounl, purpow, and date p! eiwh ;ype of eicpendilvre made uy the per;onlentiry cxl tK,~half of the GindO3te'S commitlrr^c. (Refer to
Sct rp,l ule G in . '.truclion5 And Town Code GBA52(3)(i1)
Nr )e _ .,- of _., .

(FOrSdrodule B)