Printed using the IECDB Web Reporting System on 03/29/2002 10 :50 :22

FORM DR-2 : Disclosure Summary Page Statutory Due Date 01/19/2002

Status : Filed Adjusted Due Date / /
ID #: 1333 Received Date 01/22/2002
Postmark Date 01/18/2002
Committee : Chambers for Iowa House
Amended / /
Comm Type : State House
Date Due : 01/19/2002
Report Year : 2001
Treasurer: Howard Tiemens
Primary Ph . (712)324-4360 Secondary Ph . ()-
Chair: Royd E Chambers
Primary Ph . (712)324-2694 Secondary Ph . ()-
County : NA
Amended:

Statement of Cash on Hand Cash on Hand at Start of Period $0 .00

Schedule A: Cash contributions Total $4,220 .00
Schedule F : Loans Received Total $0 .00
Schedule H : Campaign Property Sales $0 .00
SUB-TOTAL $4,220 .00
Schedule B: Expenditure Total $525.03
Schedule F: Cash Loan Repayments
(Cash on Hand At End of Period 3,694.97

Additional Assets and Liabilities

Loans in Place at Start of Period $0 .00

Schedule D: UnPaid Bills $0 .00
Schedule E: In-Kind Contributions $0 .00
Schedule F: Forgiven Loans
Schedule F: Outstanding Loans $0 .00
Schedule G : Consultant Breakdown? No
(Schedule H: Campaign Property Value $0 .00

FORM DR-2 : Chambers for Iowa House

Printed using the IECDB Web Reporting System on 03/29/2002 10 :50:23 Page 1 Of 1
IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD 1514 EAST LOCUST STREET, SUITE 1041 DES MOINES, IA 50309 1 (515) 281-4028
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
I COMMITTEE NAME (Must be same as on Statement of Orgam2l AMENDING FORM

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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT i IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

cK#
loci rye $ r?Z~

17 / b 1 S l2fn TJ.~" SiZ-0 l Co-.~)

ID#
e7Gt..a4 brG ~IzS
jo/ j CK# , t 3s3 s~~r.~
l) ( Y7.2,vv 'y',Y trnt i, ~ ~~ . Jp iC'NGIR ~OL
ID# ,D
b&, h i- ICanc~ ScG,.e(~ S's~e'-l
/ CK# 2 S ,5-3 3Zo st
Gilw-an S-dl A ~ro` M~Gr.i /00
I D#
-7-0 k" In%hct'~~
7-i8
CK#

ID# 'c
tti1 eLX'r)'1e 'xh~ (~
CK# V'
lv s0~W Z 76/
1D#
00 V%c Y scG~ rrv
CK# /J15 Da r,. r~.e- , (
Qw C~
/O~IS/C I
PVC-44 ,4C . 2- 1~+- Se IC
ga~S

ID# I C'G.AWrs
iN11/~Y1~'r

CK# ilv Sf.~t~ t+~~rse s+ .

~~ or
1D# In1,p.f I e,r'~ c, - t4rc7zla !' is
~u .~~~ 3E+7
CK# SL
Sr2c,

I D# ~+
i +~~C ChOY f e,-

CK#
/w
ID# ~Zt /c G-e,l'd'mr
i ,5zVJ Tblc : m r-~ i, a
CK#
/v zz e i 54, illir P4

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 thethird degree of consanguinity (blood relatives} and affinity (se4atives 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 Form SCHEDULE

A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev 06'97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT i IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#

CK# l k 3,qe .25 'C Sf Or- Gt u_ v~

l
101251,, ~'cirTd ~~c 5oBYG
IO#
Joe
CK# IL3f A-2,-b/e."- 0~ '`~ 1'
lC~~ r w
lc~ z s o~ S l y _T,4 s2c j
ID#

CK# 9 f, S ~ S't

.
ID# cr P-4 bi'zt
1573D rti0r---\
/
CK#
l Z r sx"', W.4, ~; ,ate ir
ID#

CK# l69 il f 016(k sf . 4,

5f
j!
2 Q( Sti. ; la~~ti. -
,t-~ -, /Ld r ,til ff .s. G

ID# y,,~ .~
/'I ttC l Irq
CK#
~f 2 01 S'~~ aPnr SiLUr
r ID# ~
6fe~ ~r %~/c  SGGtN, [`e
BIZ%" .+1cr»1o~r C . . i1eyL rlrz
CK# r
412- 1i cl 14, T > 1 2 r" ,
ID#

1612 y1t, I 57,v 4'sr

av- 1D#
/(P0/
0,2
~~ ~Izv
SUB-TOTAL

TOTAL (if fast 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) (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 Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMM TfEE NAME (Must be same as on Statement of Organization) AMENDING FORM

C6'w'" -(Z- -.~~t"vA

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(8), 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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
1D#
ra"'Ony 4- .s~ ~cc-la.,..
/d 0/ CK# .279?/ Ale',1
a l
ID#
l!~~o
lD 3d of CK#
ID#

CK# ~.llO /Vv h4 yes SIB '

.e e r,4; elm 2t,4- 1,l Z o / Cl cc,., .~' -5-00" zd
ID# "
Man S~rlrrl~~woP S~h~ Si s~e~-/
¢f
cK# ~i s`7Z / A-1
lD il of ~ co 6 .ot -i)1-l4 .j SD . dz~
iD#
Fra...c ~3 4 ~°N6 ~~`l~)oS u>tik~
SO, rhJ
11 t c~ gzoz8
ID# Wetra~S
A4-,
cK#
ll r7 p S'iz A-19, ''~ ors , o'z~
ID#
A cu.t~,U "9U.-r, s

Slzo
A Cr
41/~
11117161 Sd.R. ~ l aSD . vr~
ID# F / P.
Ge~~y
ID # ~ G~R `° e
l~ l7/d I z 9 ~ S1Z y$ ~~ INI /77
1D# &le. ila~....D~ VI -ref
CK# l5ol
11 zh ~l SLe.)eE.~ =T*I- S l2D i ,rl t4 - ZO, Oa
ID# 4- ~6Hrwa S'+rwve_
c+c#
1 ~-
SlL'~o~: sr 2ot ~ ~' ~2r, Dy
SUB-TOTAL

TOTAL (iflast page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Retatiomhip must be shown to the thlsd degree of corssangutnlty (blood relatives) and Wmtty (relatives bV
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 Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev . 06197) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

a.w.(oers rgv- -LoviA j4

STATE CANDIDATES NOTE : IF A CONTRIBUTION 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 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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
_
ID#
&aR dy G ia~y5 D,re,.. o~
CK# / b /o Plea s&-'f CF DA, ~--
11 2-G D ( ,., :T-,* izo
ID# k,qp,~k + .Sg.ti t̀~CS~m~

CK# 57/ 3.-"2 Arc

' ID# S1wn e Ze~~e .,lrorSf

CK# 70(a 72 ' Sf -1
Z7 G( S u _%r4 sra ai ~fJ /'~ J A."
ID# ~ D CNVIA
/
COQ~'Ji +
svs 4~ S~-, ~!
"VIA
0/0 CK#
1/ 3 / r s f SI 2 0 DD-d~
)4r"o I
a,f. .R.
PVtiS~r,5A-
Ave, ,
47 4 X09
!~ CK#
.57(41 don X~,A 5ria A1 A 15-, DD
ID# A ,r ., 4- D-e br~c Ha ., w~

CK# l 30/ 1SY1, St!,

1 S l r S7201 4 ~ ~,dv
ID# rly ar-yvtar~ pr,t'/e,
y0 . oX av3
s
=,4- 5 12,1-Y S AJ114 Dv~ as
Co-,l

CK# yod Ave- ~rx 76

~,- r-Ru-
s12 r I N o~
ID#
6 d l!~.. H'I or,41 w.1~ CO .
CK# 6(e" d)- Kaf~~ G u~iPto..
Y Q( $ox ~h Z .~+n- ,,,. .r2ol
al
ID#
~z~e fl!ami 1/
~( C+c#
SGel,~o~~~~=A yr(Z01 /
A asp

TOTAL (if fast 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) (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 Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
7/ CHECK THIS BOX IF
COMMX17EE NAME (Must be same as on Statement of Organization) AMENDING FORM

u <--

STATE CANDIDATES NOTE: IF ACONTRIBUTION 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 anyperson other than statutory political committees .

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT tilIF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MM/DDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

$
ID # -71 77)~
la`I S~.(6rO
(6rOr,
r,~72ot
_ /(f 25-r10
ID#
V ;c4,,- Sctiol
CK# P
l~ 05 0/ m/S
.sc.~/
e
 s S12 a r .J 1A 5-e, ev
.
1D#
Fa.P yr ~oer Vk- Lah
CK# l2/ 1 Ka A bet- vh
/oZ 0 5 Dj ~tl ~- ,95 °-~
~l .~l 5 t ~'/

CK# ~3S(1~ 1- lyh eve 04r<

Z

Ca .,t,(
tD#
or D i~o y ~ Po I ,~
CK# /SLd L lv'K S~_
l~ 0 710t loo"-, ~ sr zo ,t~ l~ ~~D
ID#
hy or Lr~c ;lli l~o&~ .

CK# Saro/ 3_3,,ycS 4 /

/2 OS of s~l SIZO if/l #- a00a

12o~,e,-f Vie,-. i6,4a,6-

ID#

CK# ell Oak C,*.

14 Da/Ol ( ,201 NjA
ID# irca~ z u,~ ~' lea Po
CK# .p,2 1.2 F 6~K
I' 9 4~ Sl~f~ ~r2U1 N
14-
ID#
IPo~er'~ I- ~rH1~ ~~ XOr

CK# ~--
la l~ al si, ~~) ~ 5) zol oa
ID# Pe+ ;9
K, U .
/0/ N, /g"z
/ CK#
l~ /9101 5~4 l1ah 6'17 01 nl h'

SUB-TOTAL 1 100-0
6
TOTAL (iflast page of this schedule)
r$
* Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Retationship must be shovm to the third degree of consanguinity (blood r"byes) and atthy (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 Fo, SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN

A MONETARY
(Rev. 06/97) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

`~1r` -
-r,! w,,, t4 I1 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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT tiiIF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

a,~ ) $
-7/s
C2S, a-
1_2 CK# Po 13 tn
a) A'~k4 1, ., /P? 7- s c sz s s94, IV% l-a,

a~ /of -72 r4-~t

la CK#
sc~c~rti.
+M2ti,
q sizd1 11/114 ~D-02--

30 -7 OVA-
AZ ,,/0/ CK# .~l y
S't", 4/1A 1S
ID#
cy- :F47V-1t hl~)oy, ree-
50
.2 7/ > CK# 2 ~o qw- <Y
1 JZ
iw 1 I ( ~C..sr~ ~ SC h WD~l~

CK#
la a~ ~,
ID#

CK#

ID#

CK#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL

TOTAL (if last page of this schedule) $

ZZf7
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 Page ~ of
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
 = ~+a_ yc"

FOR INSTRUCTIONS, SEE BACK OF FORM

JAN 2 2 ZOOZ SCHEDULE
EXPENDITURES -- MONEY SPENT FRO COMMITTEE ACCOUN B MONETARY
"0 (Rev.09/97) EXPENDITURES
STATE PAC COMMITTEES: NOTE : FOR CONTRIBUTIONS MAD '
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIG ATED COLUMN AND THE
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
0 CHECK THIS BOX IF
AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.
_.
COM ITTEE NAME (Must be same as on Statement of Organization)

U~w Ilk 4~1_ I-11 ~v u S,2_

CANDIDATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDNR) AND PAC
CHECK
NUMBER
ID# >3~ 3 h"oy, 4~a ynyCy
,d ,s 6,
CK# Oat Al 2_0 -o, y
41
~d l l~n, ya- ?~le7n . ~ ~"
5 /
1D# 1333 SL.eI i`a5.fi 04tz_e_

ID# 13, 3 3 PL, *Z"s" pc.7h ,V+-

j> 0, 13 c x IZ v
CK# you khan- S'fi
/e 3
ld~~01 T'. Q a
ID# /33 3

CK# ~D l/ Imo. c,t 2~ n

'7 wu~~>, S
CK#
lrJ
~d ZL 111 l'~r~,~ Lrl- 5i 2 3 /11Z~.v'S SC-ri 7S'bl"~ /lIh Di:
IN '-''TJW~ ~evi ew
/If'hfSl

CK# /0~ ad n r S
ll~z~~1

IN

CK# W h (A G
e of /j-7 r
.5~3 z/la

3j)7( -77
CK# log rt ~~~ sf P, o,
La N
frr.~/ ~- 533g

SUB-TOTAL

TOTAL (iflast page of this schedule) $ _____1

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 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 Schedule B)
 FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY
(Rev . 09/97) 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.

Z~~
~ 4u
COMM EE NAME (Must be same as on Statement of Organization)

a s '' - _Ice_
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

11 42 0,
CK# ~~~
oy G SyoyG ~s"Gt~
~~>

QscPVl~ ~- ~az~~

11pz Dl D
11D# ~
vlQwS~psC~
~uS
CK# 851 t
111 .s -T- .,~sC~c~'
~~, ~ Sl3
ID# ~'

CK#

1D#
pzmf
CK#
l~~n/a 1 //3
ID# w'd v.) F,'w bt c '
CK# / / /a, 0-21
~~ Ig r A A.k i,rr v% - ~ S7.?S Pw- .
ID# ~v,,tley L-1x"~s CG,.$
~~ 1 CK#
9/p l~S ~,~ 1-,a, C llr
ID# . P.- ST 046'"
S ~

CK# ~/ (v 3Lj,
~ .2/l~ldl
G.a ld~~,. ~ 51336 S s

SUB-TOTAL $
17~ 4-2t-
TOTAL (iflast page of this schedule) $

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 persons/entices 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

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY

(Rev. 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
0 CHECK THIS BOX IF
AMENDING FORM
ETHICS &CAMPAIGN DISCLOSURE BOARD .

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

C~ .b C- :3-
2 0 VJA 4V
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDYR) AND PAC
CHECK
NUMBER

Irvi e,<
CK# `T.~
la l3 D~ //7 57, 14 . t:14 5l2-al Yar^ $ /d, yet
IN Wesf ,N,`Ils A ft
CK# ;~

1D#
b
cK#
1.2131 /19
IN
?wwelpe114 o -f4-11-L
CK# /Im
/ ;Z /3f 5ka ioe_~ T-P S;, 12~ f s~ yyv 01D
ID#

CK#

ID#

CK#

IN

CK#

ID#

CK#

SUB-TOTAL $ o -
r3s~~ y
TOTAL (If last page of this schedule) $ . 5- D

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 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)