L' -e">_ t 6-EL'

FOR INSTRUCTIONS, SEE BACK OF FORM _Reset Foam FORM

DISCLOSURE SUMMARY PAGE DR-2 I DISCLOSURE
(Rev . 0712004) I REPORT
COMMITTEE NAME (Must be same as on Statement of Organization
For Office Use Oniv

IMPORTANT : Indicate by # type of committee you are reporting for : LL

State PAC ( 3 )State Party
Logged in
( 1 )Statewide/Legislative/Judge Standing for Retention Candi Scanned
(4 )County Central Committee ( 5 )County Cand e ( 7 )School Board or Other
Computer
Political Subdivision Candidate (8 )CounrtgP ool Board or Other Political
Subdivision PAC ( 11 ) Local Ballot Issuf~ '- Audited
CANDIDATE COMMITTEES ON4Y
Candidate Name
Late reports are subject to
possible civil and criminal
Office Sought penalties .

TELEPHONE

I AM FILING A ~ hl + T~ Ia REPORT FOR (1) ELECTION 1(2)NON-ELECTION YEAR .

(report date) Indicate by #

Local Committees, enter Date of Election

CHECK IF AMENDMENT TO REPORT DATED

County & Local Committees, enter County in

EO/
Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . 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 last reporting period or must be zero if this is first report filed.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9q 7,5
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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Sc hedule H applies to Candidates' Committees Only)
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?) E-I YES El NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) -&h-
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

1<(~s
014 V,

STATE CANDIDATES NOTE: IF ACONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER ANDTHE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 688.32A(6), Iowa Code, prohibitsthe 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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
h -t 1Giv+^~~e- Wt c Vro 2-- 1'e _

c~ -- 7 -~~ CK# 2 7C5~/ ° o

rs f Sf !moo SI P $ TJ
~Cf VvG('! ~W
ID# g
it y
CK# c-r ~s
aSa9 f

CK# !/+a
f
04f-1AAV d
V v'c <( -s'--b
C. H ( I Ej
f~ M 1'2 ~- c( cc41'/'
E:J-
ID#
V1 (gut
CK# SU
ID#
S~'~ v c H ~t 14 c l< <is
1
CK# w. 'Ffti l l/v
l0~- Lj
r c/ / -.
ID#
VCV 0 +- I<,4 M, 14Po (~'o r kS

CK# aos-o N- Wa1I`I 75

- - - - CAA,/a//
ID# -~
e V~ 64vrdQcr'BeIN St-Som
CK# 0 ~7 10 14- 5-4 ' °

I D#

CK# u

ID#
V, ~'~s iev ClU~
a -l3 -d (~ cK# l CX fC.0
a

ID#
~,/ uh y. -l /ti/f G al r ~Gr rv rJf~

CK# a"a ~ L ns Ir' rvoa c. l

0
SUB-TOTAL $ s
~J
TOTAL (!flast page of this schedule)

' Disclosure law requires candidate committees to disclose the relationship of any relative making acontribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and afrinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page t/ of _.)-
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07103) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization)

F
AMENDING FORM

' ,~4
~) V 1"14-rJ I/s ~-
STATE CANDIDATES NOTE : IF A CONTRIBUTION 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 .

DATE PAC 10 NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#

/bNt $ ~s
~ !
Ulnii~l tyt /Y r ~~fk G4T

CK#

ID#
°` lG
G {
Q S ~~
-31d 166 CK# d s~ t tC''U

tl
CK#
b(11 , 1l01 11 < < I ,1.,1
aI
I D#

CK#

I D#

CK#

J D#

CK#

1D#

CK#

ID#

CK#

ID#

CK#

CK#

SUB-TOTAL

TOTAL (if last page of this schedule)

' 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) . If surname of contributor is the same as candidate, but there is no Page 9 of X
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
 FOR INSTRUCTIONS, SEE BACK OF FORM Reset Form k SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev . 07/03)
MONETARY
EXPENDITURES

STATE PAC COMMITTEES: NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE

CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE D 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 BOARD.

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

KI D~ T-')K'_5 " / _
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
1D#

v G
Gam, J&
ID# ,~ ad to
CK# ` ry G h~~
Yve
1D# ~-
1 I vht V l ve-r lc~
3 ~? CK# 3ux SyS 7ds Sam_
f` ~T

1D#
(_U VV d1 fU
CK# L)~:,x 6 -7
_

ID#
, ~~s hC w~f l
3 A/ CK# ~~ SN
i4d S
ID#

CK#

1D#

CK#

ID#

CK#

SUB-TOTAL $ /
~y 9
TOTAL (Iflast page of this schedule) $ l

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 personslentities 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 1-of -_Z

(for Schedule B)