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FOR I NSTRUCTI ONS, SEE BACKOF F ' , M

DI SCLOSURE SUMMARY PAGECO I T T NAMYWus t b e s e 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 ,

/ 2- ~GLSe l p -I MPORTANT : I n d i c a t e t y p e o f c ommi t t e e y o u a r e r e p or 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 C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e i F r a n c h i s e C o mm i t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o mm i t t e e( 8 ) S u p p e ( t S l a t e o f Ca n d i d a t e s

SI GNATURE OF TREASURER ( o r p e r s o n f i l i n g t h i s r e p o r t )R o u t i n e P e n a l t i e s Du e F o r L a t e F i l e d R e p o r t s Ran ge f r o m $ 2 0 t o $ 8 0 0

SEE I NSTRUCTI ONS ON BACKANDCOMPLETE THE FOLLOWI NG SENTENCE :I - I WOL-I AM F I L I NG A . 31 24 90 t l REPORT FORAN / A ( 1 ) ELECT I ON / ( 2 ) NON - ELECT I ON YEAR.

( r e p o r t d a t e ) I n d i c a t e o n e7 CHECK I F AMENDMENT TOREPORT DATED

C Chec 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 or 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 N o t i c e o f D i s s o l u t i o n i s f i l e d . )STATEMENT OF CASH ON HAND

J Sc h e d 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 MONEYSPENT 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 ) . . . . . . . . . . . . . . . . . . "

L o c a l C o m m i t t e e s , e n t e r D a t e o f E l e c t i o n

C o u n t y & L o c a l C o mm i 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

6 ~2 37 . o - 3

CASH ON HAND 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 h i s i s t h e t o t a lo f a l l mo n i e s h e l d b y t h e c ommi t t e e . T h i s amo u n t MUST b e t h es a m e a s t h e c a s h o n h a n d a t t h e e n d o 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 ~ t n . . . . . .. : . : . . . . . . . . . . . . . . . . . $ 3ADD TOTAL MONEYTAKEN I N T HI S PERI OD 737..o,3Sc h e d u l e A: C a s 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . dSc h e d u l e H : T o t a l Sa l e s o f Ca mp 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 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 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .CASHON 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 ce mus t

b e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

UNPA I D BI L LS ( 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 ) . . . . . . . . . . . . . . , . . . . , . . . , . , . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . $ / e 1 ' , /I N KI N D CONTR I BUT I ONS ( F r om 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 ) , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATE COMMI TTEES ONLY :CONSULTANT BREAKDOWN ( Sc h ed u l e G A t t a c h e d ? ) YES V" ' NOVALUE 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 )

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F o x 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 )TT E NA ( Mu s t be e a s on St a t eme n t o f Or g a n i z a t i on )

STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I D E N T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Se c t i o n 6 8B . 3 2 A ( 6 ) , I o wa Code, 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 op i e d f r om r e p o r t s a n d s t a t e me nt 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 omme 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 an s t a t u t o r y p o l i t i c a l c ommi t t e e s .

SUB- TOTAL l l : Od~ oo , r aTOTAL ( i f l a s t p a g e o f t h i ss c h ed u l e )

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 mm 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 ma k i n g a c o n t r i b u t i o n t o t h e, a m m i t t e e . R e l a t i o n s h i p mu 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 yma r r i a g e ) ( S e e Page 2 o f f o r m s p a c k e t . ) . I f s u r n ame o f c o n t r i b u t o r i s t h e s ame as 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 ff a m i l i a l r 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 umn . ( f o r Sc h e d u l e A )

SCHEDULEA MONET ARY

( Re v . 0 6 / 9 7 ) RECEI PTSCHECK THI S BOX 1 FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR REI r ATI ONSHI P AMOUNT 4 I FRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUN( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SNUMBER I NCOI D# > A c v0/ 7 - 5 : dI G ! " rQQ%C_~ .W ~; ~ s rCK# C CI D# ~ , a ~ 7 ~, ~ ~ ~ l ~hI D#CK#I D#CK#I D#CK#I D#CK#I D#CK#I D#CK#

I D#CK#

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T HI S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY:Pu 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 n 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 n d i t u r e s t o p e r s o n s l 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 ni e d u l e G b y t h e a mo u n 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 m a d e 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 o

L o c h ed 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 5 6 . 6 ( 3 ) ( 1 ) . )P a g e

( f o r Sc h e d u l e B )

FOR I NSTRUCTI ONS, SEE BACK OF FORM SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( Re v . 0 9 / 9 7 ) EXPENDI TURES

r AT E PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VE 0 CHECK T HI S BOX I FCANDI DATES, L I S T THE CANDI DATE I DENTI F I CATI ON NUMBER I N THE DESI GNATED COLUMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD.COM TTEE NAME ( M t b e s ame a s o n St a t e me n t o f Or g a n i z a t i o n )

d1 1 CANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI 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 me n t ) WAS MADE( MM/ DD/ YR ) AND PACCHECKNUMBER

I D# "t a t t t a p / 0 iCK $ 3 1 , s e /S, 5 4 1 , , .-I D# D~ ~ ,cI D# w~ r 9 o~a al b . 2 e d CK 8 . _C # ~Qf# f f6 7 2 - - -

- CK t - " ~7 DGCI s e AOX317~ c ~ JL~CK# X I ~ / ~ ~I D# - DCK 74u -. ~. s - , ~ s 1 sI D# _Zi " e r h~fCK~' o~

` SUB- TOTAL $TOTAL- $f l a s t page o f t h i s s c h e d u l e ) $

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T HI S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :Pu 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 m u s t a l s o b e i n v e n t o r i e d o n 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 . )- ' " 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 nh e du l e Gb y t h e a mo u n 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 m a d e 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 oI o c h ed 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 5 6 . 6 ( 3 ) ( 1 ) . )

( f o r Sc h e d u l e B )

FOR I NSTRUCTI ONS, SEE BACK OF FORM SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( Re v . 0 9 / 9 7 ) EXPENDI TURES

. FATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TOSTATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I DENTI F I CATI ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD.COMWTTEENAME u s t b e s a e a s o n St a t e me n t o f Or g a ni z a t i o n)

n 7? C % ' ~ pi t " s

- CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI 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( MM/ DD/ YR) AND PACCHECKNUMBERUV CL 1 D # -5A-/ -e l ~ l ~ Si x / ' S ' %c y G 4CK#

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

_ CK#SUB- TOTAL $ 3, 1

TOTAL ( f f l a s t page o f t h i s s c h e d u l e ) $ ~ s e ` 1

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FOR I NSTRUCTI ONS. SEE BACKOF FORMCOMMI E NAME ; Mu s t b 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 }~e ) / &NOTE : De b t s p r e v i o u s l y r e p o r t e d t h a t r e ma i n u n p a i d mu s t b e i n c i u d e d o n t h i sS c h e d u l e , a s w e l l a s a n y n e w o b l i g a t i o n s i n c u r r e d i n t h i s p e r i o d .

DEBTS/ OBLI GATI ONS REMAI NI NG T HI S REPORTI NGPERI OD( DONOTI NCLUDE LOANS - SHOWLOANSON SCHEDULE F )

' I f a c t u a l f i g u r e i s u n k n ow n , s h o w " e s t i m a t e d " b e s i d e t h e f i g u r e .

SCHEDULED I NCURRED( Re v . 4 8 / 9 8 ) 1 I NDEBTEDNESS

CHECK T HI S BOXI F AMENDI NGFORMAn " I n c u r r e d d e b t ' i s a d e b t f o rg o o d s o r s e r v i c e s o r d e r e d o rr e c e i v e d , b u t n o t p a i d f o r b y t h ee n d o f t h e r e p o r t i n g p e r i o d . .r e g a r d l e s s o f wh e t h e r a n i n v o i c eh a s b e e n r e c e i v e d .

P a g e I _of~( f o r Sc h e d u l e D)CANDI DATE COMMI TTEES NOTE :' I n c u r r e d i n d e b t e d n e s s a l s o i n c l u d e s e a c h p e r s o n l e n t i t y w i t h whom t h e c a n d i d a t e ' s c o m m i t t e e h a s e n t e r e d i n t o a c o n t r a c t d u r i n g t h e r e p o r t i n g p e r i o d f o r f u t u r eo r c o n t i n u i n g p e r f o r m a n c e . E n t e r t h e n am e o f t h e c o n s u l t a n t wh o p r o v i d e s o r p r o c u r e s s e r v i c e s f o r i t e m s s u c h a s a d v e r t i s i n g , h i 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 o r g a n i z i n g s e r v i c e s . Re p o r t o n Sc h e d u l e G t h e n a t u r e o f p e r f o r m a n c e a n d t h e e s t i m a t e d p e r f o r ma n c e r e a s o n a b l y e x p e c t e d o f t h e c o n s u l t a n t

DATEI NCURRED( MMI DD/ YR) NAME AND ADDRESS OF PERSONTOWHOMDEBT OROBL I GAT I ON I S OWEDDESCRI PTI ON OF GOODS ORSERVI CES PROVI DEDORPURCHASED

BALANCE OWED ATCLOSE OFREPORTI NGPERI OD'

r ~ 7ll l Z OO ` ~. l 2S0 Z~ t a J ~~ ~ S/ S~5

U _ l s _ " e Lr_ ` ~ L?2 c c

- L 2 Z " , ) 1 , 6 1 To u j e k -l -

The 3 ~ I y ' 74

SUB- TOTAL $

TOTAL DEBTS OWED BY COMMI TTEE AT THE END OF THI S REPORTI NG PERI OD $r i i-' / 7 . l