FOR WSTRUCTIONS.

SEE BACK OF FORM FORM

DR-2 I DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 01/98) REPORT

For Office Use Only

Comm .
COMMITT,Vr
EE NAME
VC (Must be same as on Statement of nlzation)
Indexed
/
Audited
IMPORTANT: Indicate type of committee you are reporting for: Computer w K- ,
I )Statewide/Legislative Candidate ( 2 )Statewi(Je PAC , 3 )State Party ( 4 )County/Local Candidate
5 )County PAC ( 6 )Ballot Issue/Franch ommittee 7 )County/City Central Committee
i 8 )Support Slate of Candidates 7

SIGN-A1U- RE Of=VREASURER (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 :

-- JAN '' 200"s
I AM FILING A REPORT FOR ANNA (1) ELECTION /(2)NO ELECTION YEAR .
(report date) Indicate one © ._,. f-In (0 y!-\A

CHECK IF AMENDMENT TO REPORT DATED

0 Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 .
(You must continue to file reports until a Notice of Dissolution is filed.)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (This is the total
of all monies 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 it this is first report filled.) ............................................................................$ / - /75~ i~ 3
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ......... .......... ........... ................... /> l OD L

Schedule F: Loans Received total (Attach Schedule F) ..... .. .... .. .......... ......... .. ............ ..... ....
Schedule H: Total Sales of Campaign Property (Attach Schedule H) ......... .. ......... .. ... ....... ..
-tSchedul H a"Wies to Candidates' Committees Only)
SUB-TOTAL......$
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) .. .. .. .. .. ............ .. ..... .. .. .... ......... ........ .. .. .
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) . ... .. ... .. ....... .. .. .....- .. ..- . .... .. ......... .. .... . ... ....- . ..$ b
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) .. .. .. .. .. .. .. .. .. .. . .... .. .. .. ..... .. ... ... .. .. .$ ~l7
OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .. .. .. .. .. .. . . .. .. .. ..... .. .. .. .. .. .. . .. ..... . .. .. .. .$ lacl '~r1
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $

 Y- :7RINS7~RUCTIONS, 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 CHP_CK 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 .

COMMI E NAME (Must be same as on Statement of Organization)

r ~Vf rSfP~ -~cr 57~~7~~ ~c vs~
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD1YR) AND PAC
CHECK
NUMBER
West Nyh Da~Ge . ~' uAa~ Bus%~eSS Card AV

CK# l l `~ 3 >Gct l- 1300/<

- .
Srou~clan G m of o
Con.Ke~'~e:
lol p'crr.e Sr:

sox ~ty, ~A .~~lo~ Larje_h e.oi'l

Pl~in fi ~~ l~l-e SS -2001 L .e~r'S147i~e -Sui-ve_y

G.Sgs NW ~'
~ ~s ~7o~:tes, -rA Sa.31.3
(tli (nlaj' 7^e~l,rto/o9i'eS ~ovCrST`e~ . God
PO. 1&ox 17,2 3o R
CK# 11 Dallet5 , 7X 75391- .7341Q
t,Je-b flos7,, nT

,ScOU,~C C/'f/ 0u,'/W/ cool

P.o. Box /(FT InSe-l-t 5u.rt~eJ'S'

3-ta-off cK# 8 ~7 Slog.. C -7`yr~Sll6 in to PaPei-
Ll:~ ~d l Gl~r ~
3-20 -01 ~?S

. Go,"'I
v~l O
P.O. 8,,X gTa3oq
~a/lqs,7]C 7S3gT-e23o~
Slo~x c~~y co~,M~t~,/s 1QP,r1~ oI School fa~i ~;~~`NS
~Gao oZS ~'` S1`ree 71- for ne~~,~or~o 7oru~tS /77/6
Cr_7L/N'/ z-A silos
SUB-TOTAL' $ r q l~s
i3
TOTAL (iflastpage 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 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 on behalf of the candidate's committee . (Refer to
Sched ule G instructions and Iowa Code 56 .6(3)(i) .)
_ FOR INSTRUCTIONS, SEE BACK OF FORMSCHEDULE " """

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.

CO Organization)
E NAME (Must be same as on Statement of

76 t ~'S7L Ph 46- r Sf~f7~~ ~o vs~

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MWDDIYR) AND PAC
CHECK
NUMBER
ID# ~Jerl'o . c,o~(
p, o' B°x 97oz3o~
CK# /joversfen . ~ o.yt $
j(0 ( //a s, 7X 7.53`/'7- a3o9
I D# Postrla S eer" ~.
'cSLe7yCr'
~r'cS
4El~r 3. sD
CK# ( SouX cr~'.l/9 .S~ID~
O~ doZ PoS fa~
ID# E~tte rPr>'se s
~I'~7`, r~ .y c
2e fl7a~ e!'a 7 or /`1a n er`S
CK# 3a~- _.0Mlll frr~ontS7:
1(03 Da vert ort .Z-A go a
ID# -Towa Genera r FGrrto( ,~eco,tcrr'~r at~'oit of"
dl~ fr- °~ust, .. , /asp Yoo urlio(e "tti'fable ~,~0
CK#
~~a~ Des ~''lo l%I e S S~ ,50,30 `~ Gon fTi" .~ u 7`) on S
ID#

CK# C r

CK# 100'311 Z7 /. Cof

JI t-? V, ~ ; q ~~ .
5/ o
ID#

U(g-ll (pOt fnK5or-

r
ID# ~
V V-N lSc° (2~~G~- ~O
-2 .-ZS~t,' .l CK# 1 01,o ~
~~lv
Cr S~.T t Jp I
SUB-TOTAL $

TOTAL (If last 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/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 WSTRUCTIONS, SEE BACK OF . !M SCHEDULE
MONETARY
EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT
B
(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 HECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS ti CAMPAIGN DISCLOSURE BOARD.

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

Ho \le6'5-fe11 for Sfaf(f de t;5e

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Dsbursernent) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
ID# "

cK# lU/o6 32-

r
N_Pcc-r ~
v v o t, N3oa3
ID# R

04 CA~t40
oo,
/ 6' "
t
'%/ ,C y,e'
I~ ~ Z,'
CK# 10Io , Ir"les,
pk! n .1A
.h 5t .
' 7 7-A-1
ID#
~~ ,~ `ho ~,..
JCAcob s "n,~
~ K# 36 .~d

ID#

CK#
`
ID#

CK#

IN

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL $
TOTAL (!f last page of this schedule) 5 Y?6 - 3
1$ /

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

Purchases of certain campaign property costing 5500 or more must also be Inventoried on Schedule H. (Refer to Schedule H instructions .)

Expenditures to persons/entfties 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/enfly on behaff 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

I
FORM
DR-2 DISCLOSURE
' DISCLOSURE SL .AMARY PAGE (Rev. 011%) REPORT

0(19
COMMITTEE NAME (Must be same as on Statement . of Organization)
~u For Office Use only
Comm. x
Indexedt,
Audited
IMPORTANT : Indicate type of committee you are reporting for: Computer
' )Statewide/Legmlattve Candidate ( 2 )Statewide OAC 3 State Party ( a )County/Local Candidate
~, 5 )County PAC ( 6 )Ballot issue/Franchise Committee 7 )County/City Central Committee
8 )Support Slate of Candidates

SIGNATURE 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 : JAN 1 7 2002

I AM FILING A 9nir4r LECTION /(2)NON-ELECTION YEAR

(report date) Indicate one

OCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

ED Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a Notice of Dissolution is filed.)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (This is the total
of all monies 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 .) .................. ......... .. ...................................... .. .......$ /6/5. d 3
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ....... .. .... .. .......... ..... ........... ........ /,3/5
Schedule F: Loans Received total (Attach Schedule F) .. ......... .. .. .. .. .. ... .. ..... ..... ....... .......... .. Olg- 63
Schedule H : Total Sales of Campaign Property (Attach Schedule H) ... ..... ..... ..... .. .. .. .. .. .. .. ..
(Schedule H applies to Candidates' Committees Onl
SUB-TOTAL......S I 7L010,46
. ..
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) . .. ... .. .. .. .. .. .. .. ..
Schedule =: Loan Repayments total (Attach Schedule F) ... .... .. . . .. .. .. ........ .. ..... ..... ... . . ..... .. ..

CASH ON HAND at the end of this reporting oencd (if final report, balance must
be zero) (Attach DR-3) . .. .. ... .. . .. . . . . . . . . .. .. .. .. . . . ... ..... ..... .. .. .. ... .. .. .. .. .. . . ... .... .. ... .. . . . .. ..... .. .. .. .. .. .. ... .$ ,~ . D -;? ~~ -t5 .- 2

UNPAID BILLS (From Schedule D - Attach Schedule D) . . .. ... .. .. ..... . . .... .. .. .. .. .... . .... . .. .. . .... . ........ .. .. .. .. .$ O
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . . . . . . .. .. . . . .. .. . .. .. . .. .. ... .. .. . . .. .. .. .. . .. . .$
OUTSTANDING LOANS (From Schedule = - At",acn Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ .6 -3

CANDIDATE COMMITTEES ONLY:

CONSULTANT BREAKDOWN (Schedule G Attached?) YES X NO
VALUE OF CAMPAIGN PROPERTY f From Schedule H - Attach Schedule H) LIA
For.ii.structions, See Back of For SCHEDULE
A MONETARY
CONTRIBUTIONS -MONEY TAKEN IN (Rev . 06/97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

Ro ve r,~de vn 5
4'-o r -4~e o s e-
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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D# 7777777 DerU7 77",
l ~as7 su.l set %e N'a
( 7~o~ CK# _e

ll~~
CK# ~ g0 Cr
3aoo G~ ~ftl~e .
be s 1
/'lor$~ e S, l~ 3d3/a?
~D o
ID#
11 ~~3~ ,4T3.4T~p~fG
/7/0 ~ CK# 3 ll S Ea31 'n ode. itJE ~U
>'3 Geclgr' rPa ~o(s, .Ifl Sa2~4~
ID# Rfc~ai~l N! . KoT'L DU

l CK# l f qo 3
ties
a ~~ tc
/t1~l~e.s , _
sr:
rX ..5-o3to SD
ID# 60~ 3 . ..~o wQ ,ben7`al ~sSo~ia fio~j p/QC

cK#
De s /41oir1 e S ..zA v~o.3o 9
ID# t,jh ; te,
c fc~~
1(
/ CK# ^1 's,1, .4ve .
(
7lO Des /I'forh as, l"Q 3-03/3
ID# /4l erc K PAC-
530Lt
60l feAAV1V4Ar4 Ave.lue, ,vw
171 0 , CK# Nort% Bt
;/4^9 - Sai~ loco
WasAun fa t DC o?ODO ~4
ID# 1). I,Jalfer
I 11 710 , CK# g l ~-P6o7 Lakev~w
_r,4
/ ID# L_OIiJA #ea ~ P~ G-
6o67
J WesfcWn Aar~E'wgy, loo lDo
/d ( CK#
X738 West A0 s- /t'lo,~~l e
_
l ID# 4007 -Lot-J-1 re%co~'ti tuAic aj~7onS ffsSoua7t~'
7~0 /Go/ - ~a ^~ s~: , sate
CK#

SUB-TOTAL

TOTAL (iflast page of this schedule)

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) (Seeof Page 2 of forms packet.) . If surname of contributor is the same as candidate, but there is no Page / 37
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS -MONEY TAKEi : .J (Rev . W97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

~lov~rs7en fa f- 5-ref f6 /louse,

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 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MMlDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 6~a5 .rower ~ealf~Ors f~G
1 - T- of CK#
~l9Des $ ~O d

I D#
60 77 -l01~ a P~6
l~ -7 -0l B~IS Dok,~lasms ~OD
CK#
_Z~4
ID# ~~ ~ ~fomE bw/c~el5 Pi4C .
ffSSoG~~tf~icrl
!l - 7-01 l~0
cK#
x,33 `~ De s /t'to~it8s , .Z" .q
IDIf
~~ -- 7-0( cK#
l70
~~~~
0_rpl~-e park RW. o0
L,lGs J' 6 es -Koi:t es
ID# 4,jy L . C a .~f 6e/( - f%wn'nJr-
t~
/l- a las-~'8->``',~`-. fOb
cK# 666 bes Nto~~es , ..L- fl So-la
ID# Hu~l MQ/i
/ r .. 7- of cK#
1,)es ~- bes /Lfot :,~ es
ID# Fhanc~'S L7/-oWne.l~

l 77f wG6 sir c.'~, , .l~4

ID# ,57`e~oSen l.,J . ~'o6eN'`-s

11-7- O( CK#
6 7~~
666 G,la lr~r?~ Sl`I~e.e7` Say Joe a,5'oo
Ides ~?o~~es, .Sfl ,So3o ~
ID# -rower Ilea IPW_
60~7
/ / - 7 - o/ 6?s-o Wes7awn ParA-w~yl loo
CK# f d0
766 west bes /Ko~ifes, .L',q SU~66
ID# Tl e Glaxo s.~r I~l~kt°. ~~G

/1 - 7-01 cK#
0,q9,5-;
1 Research PV-k~ .~(Ic- oz7To~

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) (See Page 2 of forms packet .). If sumame of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
 For Instructions, See Back of Form SCHEDULE

` CONTRIBUTIONS - MONEY TAKEt-A

A MONETARY
(Rev . 1)6197) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

I;~" 5f 7~ - 6use,
v
11o(lersheA
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 ) IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
6 .7 7? -Lowa oP~ y tl~toto~r ~~G
11-7-01 CK# 1, o77 /3W uv M _Sl!ee~L Suite /33 $milD
ID# 60,Sg _.r s ,P14 c
//-7-0/ CK#
16 aS N A, .Ee.,Y L~lvd., Suite loo
16 5 .94 ke-11 1 rA oo~~
ID# 606'x' i`C i4
~.~~~(
l 7- DI CK# ~gC,L~
.
ti. l'nrt /4)0 ~~d
yes /~o~'rtes~ ~`~ uro3o
ID#
..-14N.4 P14 6-
7-Of CK#
HomeslLeAd BNieoe",~j ,300 L-oeus7`
Ja~O Des ~lo%,r°s , .L 1 9 s030 y
ID# - Z ell
-;,
/'/ OA

- T - o/ CK# c usl
731 . - Aur"or`q ffve- .
Uf-6~,dp le., _L~ q
ID# 6073- xo wA 1-JN ses , Assxra7Se"1 ~'AG
7` 01 CK#
113
ISD~
~~nd
-S7: .spe. . ~
G,~es 1`- .~es /v(,, -,, e S

T b CK# -713 SW F/yAA

A ken , ..t' Soo ~/
ID#
~h9e7a garrle5
CK# 6q6 ~~r~ -5t
~0~~ hes Mat;i e_s
ID# Svs-i t Camel
CK# 733
CJr `ve, .r,9 .Sv 3~ S
ID# /~(ahu ~ac~"a l`louSiif I'flL
60Qa~6 J
CK# ~-0o V X00
X38 ,s ,Q so 6
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. 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 __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 TAKES _ .A (Rev . 06J97) RECEIPTS
(Including candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

ovel's 74
en ir e ihu 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 4 IF FOR
RECEIVED* (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
1D# L~ w Pa ~
6,p70 .~ ©tnl Cc

O ~3 c1 dc's .~ta ;:2es, .274 3-aJoj--/~3

ID# Leanaro~ ~- ~nc~P~l'S~i
.3lla /Vebnxs~a 57`: AP7~a
CK#
30 Srou)C _s`/l0//-
ID# Rohr-l'1`
ll
t CK#

1D#
u l al `So
.~ r!l
~~ o'gT~6
s-t"e-Ac
rn La0 -3U-u

r 5_D°23 Loa.t ~f~' c i d G>/Iv

.h

c f ty 274
CK#

S S;or,1
ID#
0(
CK# ~0
~0 :3~ t~+S;ouK
3 St
C ; , p1 ~~ ~_llo~
ID# jZeri? dw ~~ ol ( Mq~l a

CK# 14o a ,Sa ~s~~, t

.z,4
ID# S /c. oa~~
fir,

0 .33
- S.o~ttc C;-f . 1/l .S-i/o f~
~ ID# rt c i S l~° r~r fs 7`N~!

(awe S~ .5~3~'p ._ 631

1D#_ Lha re-s e . Y~ .~ney

- Cr .114 .~ llof~
ID# Leer s F . Wee%l 6kr~
CK# 775--5 5 s ~~
0 -
~ C
`,~ sll~l ~o
SUB-TOTAL

TOTAL (if last page ofthis 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 FL 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

//a tJeTs7Le11 7 ;/- .sRt & /h0 K 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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE" RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME

"2 qa 1,~~,NII'lta~ L3l'd $ o~~U

130 .-7 _" /lob
CK#
C;17`-
ID# J'
13;o7`~ers

11 - 15 - 0 CK# ~eC,
36 7 ~rSi ou . L~9 ,S%/o 3
ID# i/t_° leM

C K# 3`r7~G C~u~tfl~'
C(4-td 3/141_4 ,SDI
ID# R~ it~ll'll~'
II - IS-- C CK# ~a5~,
300 ~.l4~ Lq .~e

Srou C~ R~ rr4 ~1/loE

ID# l.JharY~.~
Jarnes ~.

Sr'ot C,"7` ~ S/lD

ID# L i nGt7a j3 , %~"~ li v1
- is--al ST:
1l l / ~,
CK# p
~Da ',Q ~S'llo
ID#
G=earg~ G. spell~ra~t s'r .
l l - 15--o( .a 8 . ~7 .T..tte .s ST
ID # ~'
Sl oux' C; 7` S-llo

Il - lam-o( cK# J-3s~ 61)

~s<a~. V/
~ cs t- ~~ ~.5-
ilo 3
ID#
`IS -o/ _54ra

II CK# ~j01C C ot tsr V 0'u b G?lrl~'>l.

/pap
b ( I ,74-
S;'ou C; _4 to 41
ID# ~pf`naf °-1~-
~UGF'S
1 - lS-o( ~~8a 3E 7` /4ve-, date-r~ ~D
CK#
1-73 6/
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) (See Page 2 of forms packet,). If surname of contributor is the same as candidate, but there is no Page =D Of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Fs. , 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 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE* RECEIVED FUND-
(MMlDD1YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID
_ ~rlmartut°_h 6rI~"'afC~S
~O E6it Coui- f $ v~`o
-
ID# DarliOe L. .l~aver~Pa!~~
ll' l5-vl CK# v~ D ;L79 110 y- e ?4

ID# J'le (e A H. ma 5,,i?

11-lS-mil CK# f'o &-,K-20,;'s
S ouX ci .~X .S//O
ID# W a 1Sx
CK# a'w`l a
36 6 s _ZrX
lD#
Hurola' f%. 1~~t~,n s ~-
Il -J~5-ol CK# ~4 Sl6 P~ %~ e s7: ~~X 78
3,77 .
s ille . l . .5-i oa 8

CK# _30q
p o0
ID#
La lct ,D. ,:EAMCke
Il - lS -off CK#
66~
91Qc 8 ka,i ;%te Pa,-lc Lo ie, /C/;^ 0
;~~ Cvll06"
ID#
G ~, e R (rar~rit Pal'
.~

~i0u?C L
ID# ~egit o,'"'e
CK# 3T{F ~J ;kys /ftJr,
`r auX C'; ; ..r z-/l0
ID#
k-f-M Se
if - l.5-0~ CK# s= Lyf ress LSD

SUB-TOTAL

TOTAL (iflast page of this schedule)

* Disclosure lawrequires candidate committees to disclose the relationship of anyrelative 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 13
familial relationship, enter"not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of F4L SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 06197) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

oae/'S7~/~_ f/-
lL X7 le It-ous6-

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 otherthan 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

/ 4414
ID#
J" TM

Si oct cr - l,~ ..~llo~

ID#
Larrlle' L''~ot+lC
CK#,
S'ou e ;' -~ :SrllO~
ID#
c~
I leadf'
w4 ~b ~S~

CK# ~d 3 Pr~l', e PYssuye ~D(~

BTI~ akDt Dupe .s~ .~?05~ ~ - 30 _o
ID#
~al'hC ~ fart Shit
CK# loo-3 v7 Ccw?~ 6

ID# ,Ntrs . .Z'r v 7.- F Ten sew Tr,

co 0~3~ 53ae Y aY
SduX~ ; ~ .1r.4' ~llD~
~~el~ ~~ Ch ~r 5~r4na kr'O nGl'
I D#

CK# ro~0~3 /1fe ..l r~ o rk C.r'ole,

~~ ol-e I/+ o32z--
ID# Perre- Pl9C
7
-
1 -7-01 CK# / YJlG(O Gr a,, / 4vG -AP 7O 7
g~a thel,e ,~O D~^2567
/¢
1
ID# J6Lin,e5 lh~
Coh
(~( w MC)"hlej Ave-
11-(7-dl CK# 7t y8 J& S
e5
ID# c T "u10- OffG
6071 1,4 L fe 2M-wv
~- r-7-o1 CK# 570a wtshwkl
3a X13 r
war ~~z
ID#

1 ~-ol o~ cK#
g~~ sou.cG
x //o
,, -r,

TOTAL (if last page of this schedule)

Disclosure lawrequires candidate committees to disclose the relationship of anyrelative 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.
 For Instructions, See Back of Form SCHEDULE
A MONETARY
. CONTRIBUTIONS - MONEY TAKE4 4 (Rev . D8/97) RECEIPTS
(Includrly candWW's personal hinds) .
0 CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Stalement of Organization) AMENDING FORM

HDv,er5~ef,` -5+ufe You -5c

-Fo g'

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 J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# C.Aarles c-4A,PIV Z° l - s
CK#
~~3~ Sl - -la~1c

IDr 1fa.tdaff SPl'a~cte

~ .341 ' fC'g7`eri Good
cKlr s-~Za Sio~.x ~ , r~ Silo 6 3a-oa._
~IDIi
tit7~~ .Iowa Cer >r'° Pa6li'G f~GGorrnl4R '

CKw YS-0 079F c-e Pa rk .Y_ 30o P4C

.
5
131.3 Wes~ 1>es /t1e .~e s l q so?~s--mss
ID# .9
67r
(0 Town V1 de rS Pf1C
~$
CKII ) p s~ 719A5 H(Lk `nec v, /3d/
r< T 03y~

00??
ID# .-
PE-PR6
- rQ - "pZ I cop av~fe. Zoo, Nerf1~
l CK#

ID# C ra,
h Afe%so .~ -
~-
10 2- CKk b 2~ iwe(5+ CIr
7005 itti Ve a /VV `l))
ID# ca 1,4 5cc(~ 17 f 4nes (0 105'5+5

CKO 32-1 K3'` y00

5 rl0 ( 2
10e i. !n i 1 T
ID#

CK#

IDII

CK#

I D#

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 allinity (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 . (for Schedule A)
 . FOR INSTRUCTIONS, SEE BACK OF FC '

I
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 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.

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

D Ve I^ 57'e~ ,~vs<f
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MWDDIYR) AND PAC
CHECK
NUMBER
N h Dari_Ge .SquA
gus%~e55 Card ,~o(
CK# /0-3

Cor~Me~e_ ~ejl'sla~iie' may

a-la -o/ to l p'erce S~:

s o x ~~ty, .rA .Sllo l

Lrtnche-oi't

Pj- AY7 h~ SS .200 1 L-e 1's la t0e suwe_y

a - ~S-ol 0 75`
SurlleyS 9>3 0
De-5 /7oiileS,Z,q sa313'
Ni Wa1' Tee_tinoloj1'eS llo vers felt -
PO. I3ox 17,2 30 -7
7X 7,5-37- 1 307
Dallas, ~~eb !~/oslLiii9

.S-1o vy< C1 ~y i-ou l'rut l aAa! L~,y~'S(alF'i'v~ Surly

O. so X .
cK# IM-7 ~n5el`7~ Sul'I~Pys' ~aa
s, o~x c0~y, Z~si~6 jrt 7`a PQPer

Ll~~oln Gla ~
3 - ,20 -01

Po. goxl ?,7,;23o q (~o vel3 7~~I . oral

~a/~a s, rX ~s3g7-a3ap

SlOr tx Ci'~7 CoM~uA% ty ~ert ~ of School fae r G'~i`es

.moo /s
CK# o?Gao 2g' _5Yree7- for i1 e ~ AAor A-oCf -Tru .ns 177/6
c,Yy, _r14 silos
llso
SUB-TOTAL $
13
TOTAL (if lastpage 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 person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 56 .6(3xi).)
 - FOR INSTRUCTIONS, SEE BACK OF FC SCHEDULE

EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B

(Rev . 09197)
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 0 CHECK THIS BOX IF

7
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD .

CO MMI E NAME (Must be same as on Statement of Organization)

Ue~S7~P~ '?"Cr' sl~fP ~DV Se

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MWDDIYR) AND PAC
CHECK
NUMBER
ID# Ve r'o . Gor-?

5-2-7 -0t CK# r° v . E. x 17 730 ?

o Rio ve rs~erl - ~ o.1-t $
//a S, TX 7S3Y7- X309
Postrlas~e~
~f~r~s Leer- .~. ~D
C (0~ .Soux crfy.lq Silo/ PoS J~aJ
°~
ID# Vry F t~pry'se s 2efrrd~er'afol ~Q~n~7`s
CKX
1>a vex orJ-, -Z14 90 a
ID# ,~eco/~Gr'li a7~~ °oit >
~owa Genera/ '1&za( o

CK# ~~ a~ Pes /Kor%! ~°S .L,Q ~So 30 `~ Gvn

b l~' ~.asl` Locust,
t'!'i., u ~7 'o~S
Y00 urrct'enf7'f a~ l2,
~'te /O~- ~Jr~

ID#

CK#

ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL $
to rfaso
TOTAL (K last page of this schedule) $ .29
S)-5- 1,3

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) .)

Page of
 FOR;IWSTPUCnONS, SEE BACK OF FOP't SCHEDULE
E IN KIND
COMMITTEE NAME (Must be saran as on Staterwt of Orpnniza&n) (Rev . 06/97X CONTRIBUTIONS

~'1c~ver5`~es 1
CHECK THIS BOX IF
AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED J IF FOR

RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MM/DD/YR) OF CONTRIBUTOR ' (It applicable) CONTRIBUTION VALUE CONTRIBUTION

0073 WP] tca + Pl} C - $

-
3 7 Gl
ho(r"r5t1
vo/ GrQh~f '~ ~2 tV
'?IQ~
t i we ,,f Oe rhor,-v -r4 S o exfe.,se5

SUB-TOTAL

TOTAL Of last
page of this
schedule)

'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page -~ of
=ommittee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage) . (See Page 2 of forms packet.) If sumame of contributor is the same as candidate . but there is no
familial relationship. enter 'not applicable" in the relationship column .
 I
SCHEDULE

COMMITTEE NAME(Must be wine as wi Statement of Organization) F LOANS

--5f (Rev . 08/96) RECEIVED
llovc,f'.s AC- 11 -For- t(f- ~o rtis 6 REPAID

Q CHECK THIS BOX IF

NOTE : This schedule reports money loaned to the committee which is deposited in the committee account .
AMENDING FORM
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD $ .2obo

PART I - MONETARY LOANS RECEIVED_ THIS REPORTING PERIOD PART 11- MONETARY LOAN REPAYMENTS MADE HI REPORTING PERIOD
(Original source of loan, such as a bank, must be shown if a third party is (Loans forgiven must be reported on Schedule E -- In-kind Contributions .)
involved Include loans from candidate'spersonal funds .)_
DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT DATE PAID NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT
RECEIVED (Include Endorser's Name, If Applicable) TO CANDIDATE OF LOAN - (MM/DD/YR) - (include Endorsers Name, If Applicable) TO CANDIDATE' REPAID
(MM/DD/Y% If A ficable' II A licable

Cri!~ ~fo~ers ~.r( ~same $

s
l
Park Rival. Per 7 T/I . ~ .~ I

Sr`or t.>C Clf~;114 S"11o? ~u~ds

TOTAL (PART/) TOTAL CASH REPAYMENTS (PART H)

From Schedule E -- TOTAL LOANS FORGIVEN

TOTAL OUTSTANDING LOANS END OF REPORT PERIOD s 4Ol?. 0~3

'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 .) It surname of contributor Is the same as candidate, but there Is no templet
relationship, enter "not applicable" in the relationship column when it applies . Page / of
(for Schedule F)