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DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAU s-'. (Rev . 02/96) REPORT
Penalties Due For Late Filed Reports Range from $10 to $400
I AM FILING A .lJl u /S' D rY- ~.. t ?I)e~ REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) Indicate one
D 2- _? J 7- 9
CASH ON HAND at the end of this reporting period (if final report, balance must d
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 NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN
(Rev . 02/96) RECEIPTS
(Including candidate's personal funds)
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 .
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TOTAL (if last page of this schedule)
53 '74- 3
closure 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 (bl)od relatives) and affinity (relatives by
,- of _, Z ,-
marriage) (See Page 2 of forms packet) . If sumame of contributor is the same as candidate, but there is no Page
familial relationship, enter 'not applicable' in the relationship column. (for Schedule A)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
(Rev . 02J96) I EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE Q 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 .
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SUB-TOTAL $ d M{
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TOTAL (if last page of this schedule) I S
Please insert the applicable number in the purpose column for each expenditure .
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Purchases of certain campaign property costing 5500 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 person/entity an behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 5& .6(3)0.)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
i
B MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
(Rev .02/9fi) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO 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 BOARD .
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CANDIDATE NAME AND ADDRESS TO WHOM EXPENDITURE PURPOSE AMOUNT
DATE ID NUMBER (Disbursement) WAS MADE (CANDIDATES SEE EXPENDED
EXPENDED (if applicable) BELOW &ENTER
(NIMIDO/YR) AND PAC
CHECK NUMBER
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TOTAL
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TOTAL (if last page of this schedule) S
Please insert the applicable number in the purpose column for each expenditure.
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Purchases of certain campaign property costing 5500 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 person/entity an behalf of the candidate's committee . (Refer !o
Schedu le G instructions and Iowa Code 56 .5(3)0 .)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
a
MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
(Rev . 02196) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE Q 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 .
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CANDIDATE NAME AND ADDRESS TO WHOM EXPENDITURE PURPOSE AMOUNT
DATE 10 NUMBER (Disbursement) WAS MADE (CANDIDATES SEE EXPENDED
EXPENDED (if applicable) BELOW & ENTER
(NIMiD0/YR) AND PAC 1,2,3)
CHECK NUMBER
I 57 -4
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TOTAL (if last page of this schedule)
Please insert the applicable number in the purpose column for each expenditure .
-Y
Purchases of certain campaign property costing S50o 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 persoNentity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56.6(3)(1 .)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
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Purchases of certain campaign property costing S500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)
Expenditures to persons/entities 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 person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(1.)
FOR INSTRUCTIONS, SEE BACK OF FORM
i SCHEDULE
MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
(Rev . 02J96) EXPENDITURES
STATE PAC COMMITTEES : NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES . LIST THE CANOIOATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA
AMENDING FORM
ETHICS 3 CAMPAIGN DISCLOSURE BOARD .
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-Y
Purchases of certain campaign property costing S500 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 an behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 50-x(3)(0 .)
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FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
i
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY
(Rev . 02J96) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 2_ CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ANlENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .
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Purchases of certain campaign property costing S500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to persons/entities 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 person/entity on behalf of the candidate's committee . (Refer to
Schedule G in structions and Iowa Code 5& .5(3)0 .)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
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SUB-TOTAL
Please insert the applicable number in the purpose column for each expenditure .
Purchases of certain campaign property costing 5500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions .)
Expenditures to persons/entities 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 person/entity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 56 .6(3)(i) .)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
B MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
(Rev . 02/96) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MACE TO STATEWIDE OR LEGISLATIVE
CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE S 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 .
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SUB-TOTAL
TOTAL (if last page of this schedule) ( t
Please insert the applicable number in the purpose column for each expenditure.
-Y
Purchases of certain campaign property costing S500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to personsJentities 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 personientity on behalf of the candidate's committee. (Refer to
Schedule G instructions and Iowa Code 5& .5(3)0 .)
FOR irisrRUCTr6NS, SEE BACK OF FOPNf SCHEDULE
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.Y
Purchases of certain campaign property costing SSOt7 or more must also be inventoried an Schedule H . (Refer to Schedule H instretons .)
Expenditures to personslentibes providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized an
Schedule G by the amount, purpose . and date of each type cf expenditure made by the persorVentity an behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 50 .0"(3)(I .)
FOR irisTRUCTIONS,
i SEC BACK OF FORNf SCHEDULE
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CANDIDATE
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NAME AND ADDRESS TO V14-iGM EXPENDITURE PURPOSE AMOUNT
DATE ID NUMBER (Disbursement) WAS MADE (CANDIDATES SEE EXPENDED
EXPENDED (if applicable) BELOW & ENTER
(MMIDOIYR) AND PAC 1,2,3)
CHECK NUMBER
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SUB-TOTAL
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-Y
Purchases of certain campaign property casting SSQO or more must also be inventoried an Schedule H . (Refer to Schedule H instructions .)
Expenditures to personslentities providing consuiting, advertising, fund-raising, polling, managing, organizing services must also 'ae detail item¢ed an
Schedule G by the amount, purpose, and date of each type of expenditure made by the personlentity on behalf of the candidate's commftee . (Reefer to
Schedule G instructions and Iowa Code /D + 'F-/-~ ~
FOR INSTRUCTIONS, SEE BACK OF FORNf SCHEDULE
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Purchases of certain campaign property costing S500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to personslentities providing =nsufing, advertising, fund-raising, polling, managing, org anizing services must also be detail itemized an
Schedule G by the amount, purpose, and date of each type of expenditure made by the personlentty on behalf of the candidate's committee . (Reefer :o
Schedule G instructions and Iowa Code 56 .5(3)0 .)
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FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE"
i
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY
(Rev . 02156) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEN1OE OR LEGISLATIVE
CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE CHECK THIS BOX ir-
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUNISERS IS AVAILABLE FROM THE IOWA ANIENDING FORM
ET HICS & CAMPAIGN DISCLOSURE BOARD .
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-Y
Purchases of certain campaign property costing S500 or more must also be inventoried an Schedule H . (Refer to Schedule H instructions .)
Expenditures to personsJentities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized an
Schedule G by the amount, purpose, and date of each type of expenditure made by the personlentty an behalf of the candidate's committee . (Refer :o
Schedule G instructions and Iowa Code 50 .5(3)0 .) 1e~- 1= 16 0
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
(Rev . 07/96) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MACE TO STATEWIDE OR LEGISLATIVE
CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN ANC THE 7 CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
ANIENCING FORM
ETHICS b CANIPAIGN DISCLOSURE BOARD .
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SUB-TOTAL I $
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TOTAL (if last page of this schedule) I S
Please insert the applicable number in the purpose c.-lumn for each expenditure .
Purchases of certain campaign property costirg SSCO or more must also be inventoried an Schedule H . (Refer to Schedule H instructJons .)
Expenditures ;o 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 perscnlentity an behalf of the candidate's committee . (Refer to
Schedul e G i nstn:dions and Iowa Code
13 ~, .F
FOR INSTRUCTIONS, SEE BACK OF FOPNf SCHEDULE
MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 02196) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MACE TO STATEWIDE OR LEGISLATIVE
CANDIDATES . LIST THE CANDIDATE ICENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE Q CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUNISERS IS AVAILABLE FROM THE ICV`iA AMENDING FOR,',jl
ETHICS & CAMPAIGN DISCLOSURE BOARD .
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SUB-TOTAL
Please insert the applicable number in the purpose column for each expenditure .
-Y
Purchases of certain campaign property costing SSQO or more must also be inventoried on Schedule H . (Refer to Schedule H instructieris .)
Expenditures to perscnslentities providing consulting, advertising, fund-raising, peiling, managing, organizing services must also be detail itemized an
Schedule G by the amount, purpose, and date of each type of expenditure made by the persen/entity do behalf of the candidate's ccrnmittee . (Refer ;o
Schedule G instructions
(4" and Iowa Code So .6(3) (~ .) 6 -.(- 4
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
i
MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
(Rev . 02)96) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MACE TO STATEMOE OR LEGISLATIVE
CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE "I CHECK THIS BOX IF
PAC CHECK NUNIBER FOR EACH EXPENDITURE . A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORIljl I
ETHICS & CAMPAIGN DISCLOSURE BOARD .
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SUB-TOTAL
Please insert the applicable number in the purpose column for each expenditure .
Purchases of certain campaign property costing S500 or more must also be inventoried an Schedule H . (Refer to Schedule H instructions.)
Expenditures to personslentities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized en
Schedule G by the amount, purpose, and date of each type of expenditure made by the persondentity on behalf of the candidate's committee . (Refer 'o
Schedule G instructions and Iowa Code vo' .5(3)(~ .)
FOR ISIS TRUCTIONS, SEE BACK OF FOPMI SCHEDULE
MCNETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
(Rev . 02196) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CCNTRIBUTIONS MADE TO STATE+410E OR LEGISLATIVE
CANDIDATES . LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLULIN AND THE CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF 10 NUMSERS IS AVAILABLE FROM THE I0NA ANIENDING FORINI
ETHICS 3 CAMPAIGN DISCLOSURE BOARD .
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Please insert the applicable number in the purpose column for each expenditure .
Purchases of certain campaign property costing SSCO or more must also be inventoried an Schedule H . (Refer to Schedule H instructions .)
Expenditures to personslentities providing cansuding, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
G bY the amount, purese, and date of each ',*yQ-e of expenditure made by the ~ d on behalf of the candidate's committee
persoNernt,Y
r ~ . (eR/ er !o
Schedule G i ctions and Iowa Code 50 .6(3)(1 .) _j1v a d