OCT-15-2004 FRI 01 :38 PM NORTHWESTERN ST BANK OC FAX NO, 17127378824 P, 01

FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 DI5CLOSURE
(Rev . 07/2004) REP ORT
COMMITTEE NAME (Must be same as on Statement of Organization)
C
For Office Usu Onl y r 
NORTI IWFS'I' IOWA REPUBLICANS

IMPORTANT Indicate by f type of committee you arc reporting for : .J Logged n , .. ., . .. . . .__.--_--
( 1 )Statewide/Lcgislativo/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )Stale Parly Scanned
( 4 )County Central Committee ( 5 )County Candidale ( G )City Candidate ( 7 )School Board or Other
Political Subdivision Candldatc ( B )County PAC ( 9 )City PAC ( 10 )School Board or Ulhor Polilipf31 Computer ~___ . .. . , .__ ._.. .-___-

Subdivisio n PAC ( 11 ) Local Ballot Issue _ Audited

CANDIDATE COMMITTEES ONLY :
Candidate Name Political Party (if applicable)
Late reports are subject to
possible civil and criminal
District (if Senate or House) penalties .
OCT 1 5 2LJ04

`712.~7~7~~lSIl
TELEPHONE DATE SIGNED
err+r~i

OCTOBER 14, 2004

M FILING A REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .
(report dale) Indicate by #

Local Committees, enter Date of Eloclion

[]CHECK IF AMENDMENT TO REPORT DATED

County & Local Committees, enter Courity in

0 Check if this Is final (termination) report and attach Notice of Dissolution Form DR-3 . which Cloclion is hind
(You must continue to rile 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 Inst reporting period or must be zero if this is first report filed .) . . . . . . . . . . . . . . . . . . . . . . . . . . .  ., . ., $ 1,047 .5$

ADD TOTAL MONEY TAKEN IN THIS PERIOD

Schedule A : Cash Contributions total (Attach Schedule A) (*also see in-kind below) . . . . . . . . . . 0 .00
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 .00
Schedule H . Total Sales of Campaign Property (Attach Schedule H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 .00
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL . . . . . $ 1,04'7,$$
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schodute B : Expenditures total (Attach Schedule B) (**also see debts and loans below), . . . 0,00
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 .00
CASH ON HAND at the end of this reporting period (if final report balance must
1047,58
he zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ._ . ._ . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . ._ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

"UNPAID BILLS (From Schedule D - Attach Schedule D) . . ._ . . . . . ._ . . . . . . ., . . . . . ., . ., ., ., . . . . . . . . . . . . . . . . . . . ., .  , ., .  $ 0 .00 __ . .., ..-

*IN KIND CONTRIBUTIONS (From Schedule E -Attach Schodute E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

""`OUTSTANDING LOANS (From Schedule F -Attach Schedule F) . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .$ 0 .00
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule 0 Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ 0.00