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FOR I NSTRUCT I ONS, SEEBACK OF FORMDI SCLOSURE SUMMARY PAGECOMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )

r G( - ( t ) - r o L ) t - 10e n 2 - Co ~ % ~ . c s , s , r - 1 - - C ~ nC a ~~ e > t t po _ ~ CG T - i QA c . , e ~ Vr 47/ OASI MPORTANT : I n d i c a t e b y # t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r :( 1 ) S t a t e w i d e / L e g i s l a t i v e / J u d g e S t a n d i n g f o r R e t e n t i o n C a n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t a t e P a r t y( 4 ) C o u n t y C e n t r a l C o mmi t t e e ( 5 ) C o u n t y C a n d i d a t e ( 6 ) C i t y C a n d i d a t e ( 7 ) S c h o o l B o a r d o r O t h e rP o l i t i c a l S u b d i v i s i o n C a n d i d a t e ( B ) C o u n t y PAC ( 9 ) C i t y PAC ( 1 0 ) S c h o o l B o a r d o r O t h e r P o l i t i c a lS u b d i v i s i o n PAC ( 1 1 ) L o c a l B a l l o t I s s u eCANDI DATE COMMI TTEES ONLY :Ca n d i d a t e Name P o l i t i c a l P a r t y ( i f a p p l i c a b l e )

' J1JL . 1 ZU10 ,O f f i c e S o u g h t

SI GNATURE OF PERSON F I L I NG REPORT

I AM F I L I NG A a L1 I . . ` t '( r e p o r t d a t e )

MCHECK I F AMENDMENT TO REPORT DATED

7 - 1 1 5 D i s t r i c t ( i f Se n a t e o r H o u s e )7 3 s-

TELEPHONE

C h e c k i f t h i s i s f i n a l ( t e r mi n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n F o r m DR- 3 .( Y o u mus t c o n t i n u e t o f i l e r e p o r t s u n t i l a DR- 3 i s f i l e d . )

I n d i c a t e b y #

STATEMENT OF CASH ON HANDONHAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T o t a l o f a l l f u n d s h e l d b y t h ec o mmi t t e e . T h i s amo un t MUST b e t h e s ame a s t h e c a s h o n h a n d a t t h e e n do f t h e l a s t r e p o r t i n g p e r i o d o r mus t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADD TOTAL MONEY TAKEN I N TH I S PERI ODSc h e d u l e A: Cas h C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e d u l e A ) ( ' a l s o s e e i n - k i n d b e l o w ) . . . . . . . . .Sc h e d u l e F : L o a n s Re c e i v e d t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e H : T o t a l S a l e s o f Camp a i g n P r o p e r t y ( A t t a c h Sc h e d u l e H ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h ed u l e H a p p l i e s t o Ca n d i d a t e s ' Co mmi t t e e s On l y )SUB- TOTAL . . . . . . $

SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e d u l e B : E x p e n d i t u r e s t o t a l ( A t t a c h Sc h e d u l e B ) ( " a l s o s e e d e b t s a n d l o a n s b e l o w ) . . .Sc h e d u l e F : Lo a n Re p a y me n t s t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ON HAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t b a l a n c e mus tb e z e r o ) ( A t t a c h DR- 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

' UNPAI D BI L L S ( F r o m Sc h e d u l e D - A t t a c h Sc h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $I N K I ND CONTRI BUT I ONS ( F r o m Sc h e d u l e E - A t t a c h Sc h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $OUTSTANDI NG LOANS ( F r o m Sc h e d u l e F - A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ANDI DATE COMMI TTEES ONLY :NSULTANT BREAKDOWN ( S c h e d u l e GA t t a c h e d ? )

OF CAMPAI GN PROPERTY ( F r o m Sc h e d u l e H- A t t a c h Sc h e d u l e H)

FORMDR- 2 DI SCLOSURE( Re v . 0 7 1 2 0 0 4 ) REPORTF o r O f f i c e Us e On l yCo mm . # 6L o g g e d I nS c a n n e dC o mp u t e rA u d i t e d

L at e r e p o r t s a r e s u b j e c t t op o s s i b l e c i v i l a n d c r i mi n a lp e n a l t i e s .

? ` JD O T i t SI GNED

REPORT FOR ( 1 ) ELECT I ON / ( 2 ) NON- EL ECT I ON YEAR.

L o c a l C o mmi t t e e s , e n t e r D a t e o f E l e c t i o nC o u n t y & L o c a l C o mmi t t e e s , e n t e r C o u n t y i nw h i c h E l e c t i o n i s h e l d

YES NO

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F o r I n s t r u c t i o n s , Se e B a c k o f Fo r mCONTRI BUTI ONS - - MONEY TAKEN I N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e s a me a s o n St a t e me n t o f O r g a n i z a t i o n )

- r 6 A ) jCDt y 6 t i 2 f i L c r ~ ~o e , 4 . M o , ) P, E~~

SCHEDULEMONETARY( R e v . 0 7 1 0 3 ) I RECEI PTS

0CHECK THI S BOX I FAMENDI NG FORMSTATE CANDI DATES NOTE : I F A C ON T R I B UT I ON I S R E CE I V E D FROM A STATE PAC ( P OL I T I C A L A C T I O N C OM MI T T E E ) , L I S T THE PAC I D E NT I F I C A T I O NNUMBER ANDTHE PAC CHECKNUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROMTHE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD.CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o m m e r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mm i t t e e s .

SUB- TOTALTOTAL { I f l a s t p a g e o f t h i s s c h ed u l e )

D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o m m i t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e m a k i n g a c o n t r i b u t i o n t o t h em i t t e e . R e l a t i o n s h i p m u s t b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b y. I f s u r n a me o f c o n t r i b u t o r i s t h e s ame a s c a n d i d a t e , b u t t h e r e i s n o P a g e / o fr e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e ' i n t h e r e l a t i o n s h i p c o l u m n . ( f o r S c h e d u l e A )

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT 4 I F FORECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MMI D DI Y R) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SENUMBER I NCOMI D# CC( ,07- ? ' 6. A&A. Co ~ I 6 , AQ, . cCK# t 3~x 4 4 ( o rI D#

r CK# SAM 31~6~'I D# VA. C: A ~. , I - S L/ 6 u 1 , o ~ . Pt 4 e)

o~~ CK# ao--4~AV, k e ( L 4Nb L 1 ~ , c aI D # C L I NTb ( 0 G ~ . k . 1 3 E l z &~~Pk - C~gCK# t 3 o t c k - G I

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Tl ~ r J " ~ CK# J ~ a l t .1 D#CK# - ~ f l MI D#CK#I D# _

CK#I D#CK#

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T HI S BOX APPL I ES TO CANDI DATES' COMMI TT EES ONLY :P u r c h a s e s - o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e mu s t a l s o b e i n v e n t o r i e d o a Sc h e d u l e H . ( R e f e r t o Sc h e d u l e H i n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s mu s t a l s o b e d e t a i l i t e m i z e d o nSc h e d u l e G b y t h e a mo un t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e made b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mmi t t e e . ( R e f e r t oSc h e d u l e G i n s t r u c t i o n s a n d I o wa Co d e 6 8 A . 4 0 2 ( 3 ) ( i ) . )

P a g e

FCR I NSTRUCTI ONS, SEEBACKOF FORM SCHEDULEE PENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNT B MONETARY( Re v . 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I ST THE CANDI DATE I DENTI F I CATI ON NUMBER I N THE DESI GNATED COLUMNAND THE F - 1 CHECK THI S BOX I FPA C CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEENAME ( M u s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )

CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPEND I TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e m e n t ) WAS MADE( I V I M / D DI Y R) AND PACCHECKNUMBER

I D# d s t bI ~ 7 -k, c 1/. S CK# p f -6vX 1 ~ 3 G7 QOr J C ) r J

I D#CK#D#CK#I D#CK#

I D#CK#I D #CK#I D #CK#I D #CK#

- SUB- TOTAL $TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e ) $ r