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M FORM
DR-2 I DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev. 01/98) REPORT
NATURE OF TREASURER (or person filing this report) TELEPHONE DATE SIGNED
Routine Penalties Due For Late Filed Reports Range from $20 to $800
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE : JAM 2 2 2002
I AM FILING A
(report date)
ORT FOR ANIA (1) ELECTION /(2)NON-ELECTION YEAR .
Indicate one
21 rm I -/ y
CASH ON HAND atthe end of this reporting period (if final report, balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
O
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD.
CAUTION : or
for any commercial purpose by any person other than statutory political committees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT l IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (ifapplicable) RAISER
60,7_-
NUMBER INCOME
ID#
D
CK 61
CJ l
lG all
O4 -D~ CK#
CK#
/
K# lG~ ,so
C
n C K# - l
_
~D
CK#
ID#
CK#
CjC -;
I D#
ID#
C K#
CK#
f/
SUB-TOTAL
" Disclosure lawrequires 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) (See Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page -~ of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of For SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 06197) RECEIPTS
(Including candidate's personal funds)
CHECKTHIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
_1 ZZ7;' S 467
~1!_7111 ' /) Cc~VZe, _
72,19/7?r:Z'1-Z/-
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECENED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
DISCLOSURE BOARD .
CAUTION : or
for any commercial purpose by any person other than statutory political committees .
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT q IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDDNR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# °-
ov CK#~ 3l0 $ QD
;~ ~~ sz3D `
I D#
C K#
I D#
ID#
~j~ ~~J')C7j? ;rr
I D# W ~-
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v
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'S
C K#
ID#
C K#
I D#
CK#
I D#
CK#
I D#
CK#
SUB-TOTAL
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) (See Page 2 of forms packet .) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
Page A of OZ
(for Schedule A)
I
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
ID#
/~~
~1
CK# O el
1V V
ID#
I D#
SX '"
CK# ~1-/C7IX4
CK#
:x.m1 ~,m l,,,
CK#,y~
.C
I D#
CK#
ID#
C K#
-
SUB-TOTAL $ -
Purchases of certain campaign property costing $500 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) .)
Page
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
Q
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
ID#
1D#
CK#
I7d ?~~ : ~ 1-A ~ V im 72 46"YL
Dr O.
ID#
// lln4 -21 F ~31~ ~-l 'l~ lJ
K# ll1 - ~~%nc v2
C
CK# - 9 e -0
ID
CK# ~WW et
fir,
ID#
CrTI'~CiYI
`' }f ~- _ ~ ate
SUB-TOTAL
Purchases of certain campaign property costing $500 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) .)
Page
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
B MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT (Rev . 09197) 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 .
4 // ,/-7~
CANDIDATE
a'G6v a~/- f~-12 /~
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
I,
1D#
0/ ' l/nm i
ID#
L'ca
8
C K#
l 02/`7
ID#
CK#
ID#
CK#
ID#
1221 0"2
cK#~/ ~ 3 /elf DD
D C)
. .
SUB-TOTAL
Purchases of certain campaign property costing $500 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 Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
CANDIDATE
a/7
NAME ANDADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMIDD(YR) AND PAC
CHECK
NUMBER
~oC l Z/
CK# r-,3 1/1l3
07 4 $o2.~ eD
ID#
7
ID#
ID#
CK#
1D# ~/rYJL~~' S
la~o2
-
iV,21,
79
3
CK#/CSC}
l ~l0/
ID#
CK#
SUB-TOTAL $
Purchases of certain campaign property costing $500 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 Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
CK#
1D#
by
CK# °-~
11 ~~ E Q Ol1
lOD ~G
ID# W,
tai-~'l CK lDD i s v r~ /~
ID#
CK#
ID#
CK#
ID#
CK#
1D#
CK#
SUB-TOTAL
Purchases of certain campaign property costing $500 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).)
Page
(for Schedule B)
cAlYa%y- 01a) /
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I
SCHEDULE
D INCURRED
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 08/98) INDEBTEDNESS
SUB-TOTAL $
'If actual figure is unknown, show "estimated" beside the figure . Page -~ of
(for Schedule )
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2 2002
3 AN 2
FOR INSTRUCTIONS, SEE SACK OF FORM SCHEDULE
G BREAKDOWN
OF MONETARY
THIS FORM IS USED BY CANDIDATES' COMMITTEES ONLY (Rev. 02/96) EXPENDITURES
BY CONSULTANT
~G s7~' rc Cllz~
TOTAL ANTICIPATED
COMPENSATION FOR
CONTRACT PERIOD (MWDDIYR) PERFORMANCE
From
To ; a-31-'~J/
ESTIMATES OF PERFORMANCE
SUB-TOTAL
Page / of /
(for Schedule G)