o brien denise 5119scannedamendment

8/7/2019 O Brien Denise 5119__scanned__amendment

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DISCLOSURESUMMARYPAGE

COMMI TT EE NAME ( 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 )

De n i s e O' B r i e n f o r S e c r e t a r y o f A g r i c u l t u r e

I 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 rL

( 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 ( 8 ) 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 ) Lo c a l B a l l o t I s s u e

CAND I DATE COMMI TTEES ONLY :

C a 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 )

De n i s e O' Br i e n

D emo c r a t

O f f i c e S o u g h t

D i s t r i c t ( i f S en a t e o r H o u s e )

S e c r e t a r y o f A g r i c u l t u r e

L a t e r e p o r t s a r e s u b j e c t t o p o s s i b l e c i v i l a n d c r i mi n a l p e n a l t i e s . P u r s u a n t t o I o w a Code s e c t i o n 6 8 B . 3 2 A ( 7 )t h e c a n d i d a t e , f o r a c a n d i d a t e ' s c o mmi t t e e , a n d t h e c h a i r p e r s o n , f o r a n y o t h e r t y p e o f c o mmi t t e e , i s t h ei n d i v i d u a l r s o o n s i b l e f o r f i l i n g t i me l y a n d a c c u r a t e r e p 4s .

SI GNATURE OF PERSON F I L I N G REPORT

I AM F I L I N G A

May 1 9

( r e p o r t d a t e )

mCHECK I F AMENDMENT T O REPORT DATED Ma y 1 9 ( a me n d e d 1 0 / 0 6 / 0 6 )

Che 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 Fo 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 . )

R e s e t Fo r m

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

I n d i c a t e b y #

FORM

DR-2

DI SCLOSURE

( Re v 1 2 / 2 0 0 5 )

REPORT

F o r O f f i c e Us e O n [ v ~-~

Comm . #

L o g g e d I n

S c a n n e d

C o mp u t e r

A u d i t e d

F i l e w i t h :

I o w a E t h i c s a n d Ca mp a i g nD i s c l o s u r e B o a r d

5 1 0 E . 1 2 ` h , S t e . 1 A

De s Mo i n e s , I o w a 5 0 3 1 9

F a x 5 1 5 - 2 8 1 - 3 7 0 1

~ i ~ - 7 ~ las s

6

TELEPHONE

DATE S I GN D

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 n

C o u n t y & L o c a l C o mmi t t e e s , e n t e r Co u n t y i n

w h i c h E l e c t i o n i s h e l d

STATEMENT OF CASH ON HAND

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 o t a l o f a l l f u n d s h e l d b y t h e

c o mmi t t e e . T h i s am o u n t MUST b e t h e same 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 mu s 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

9 , 8 56 . 1 9



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 m

CONTRI 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 ( M u s t b e same a s o n S t a t e m e n t o f O r g a n i z a t i o n )


R e s e t F or m

STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM ASTATE PAC ( P OL I T I CA L ACTI ON COMMI TTEE) , L I S T THEPACI DENT I F I CAT I ONNUMBER ANDTHE 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 : 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 ma 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 me 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 mme 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 mmi t t e e s .

SCHEDULE

A MONETARY

( R e v . 0 7 / 0 3 ) RECEI PTS

! ~ I CHECK T HI S BOX I F

AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORRECEI VED ( i f a p p l i c a b l e ) TO

CANDI DATE" RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME

I D#0 1 / 0 2 / 0 6

L a n a Ros s1 0 0 . 0 0

CK#295 250 2 N 5 t h S t . , Ma r s h a l i t o n , I A 5 0 1 5 8

I D#

0 1 / 0 2 / 0 6Ka t h l e e n De l a t e

2 50 . 0 0CK# 2 3 0 R a p h a i l Av e . , Ames , I A 5 0 0 1 4

D#Ka p p i e S p e n c e r

1 0 0 . 0 00 1 / 0 2 / 0 6CK#

7 1 5 13 7 3 5 Be n e v a Oa k s Way , S a r a s o t a , F L 3 4 2 3 8

D#

0 1 / 0 3 / 0 6Be n B u r k e t t 50 . 0 0

CK# Bo x 2 2 7 8 6 , J a c k s o n , MS 3 9 2 2 58 3 9

I D#Ro b er t a T i l l - R e t z

2 5 . 0 00 1 / 0 3 / 0 6CK#

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I D#I v a n Web b e r 2 50 . 0 00 1 / 0 3 / 0 6

CK#2 7 7 8

1 2 7 5 1 6 t h S t , We s t De s Mo i n e s , I A 5 0 2 6 5



Fo r I n s t r u c t i o n s , Se e Ba c k o f Fo r m


( I n c l u d i n g c a n d i d a t e ' s p e r s on a l f u n d s )

I COMMI TT EE NAME ( Mu s t b e s ame a s o n St a t eme n t o f O r g a n i z a t i o n )

Re se t F or m

STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECE I V E D FROM A S T AT E P AC ( P O L I T I C A L ACT I ON C OMMI T T E E ) , L I S T T HE PA C I D EN T I F I C A T I O NNUMBER AND THE P AC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM T HE I OWA E T HI C S ANDCAMPAI GNDI SCLOSURE BOARD .

CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a 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 o p i e d f r o m r e p o r t s an 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 ny c o mme 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 mmi t t e e s .

SCHEDUL E

A MONETARY

( R e v . 0 7 / 0 3 ) RECE I PTS

CHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT q I F FORRECE I VED( MM/ DD/ YR )

( i f a p p l i c a b l e )AND PAC CHECK

TO CANDI DATE'( i f a p p l i c a b l e )

RECE I VED FUND-RAI SER

NUMBER I NCOME

I D# T D An r , ~ v r 1 m¢ i ( Yr AV\

o 1 l o g l o b CK# 7 b 3 o As h$ ~d ~~

I D# a Y - 0 440 1 1 0 5 1 0 4 CK # avSb 5.

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Sd. t 7 Z~

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V I d L o b CK # ( o 4? a 6 i A 1 , Z ) UHA s I e f f , / 4 I *

I D# Ju e a l l y n 6 1 4 K " r t 6 4 s e v e

C J J l 1 1 / o Z CK #l l ~ b s ( ~ k 5 I ' r - '

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Fo r I n s t r u c t i o n s , Se e Ba c k o f F or m


( 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 TTEENAME ( Mu s t b e s ame a s n St a t eme n t o f Or g a ni z a t i o n)

0,

STATECANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C AL ACT I ON COMMI TTEE) , L I S T THEPAC I DENT I F I CAT I ONNUMBER AND THEPAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I L ABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD

CAUTI ON : Se ct i o n 6 8B . 3 2 A ( 6 ) , I o wa Cod e , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o pi e d f r o m r e p o r t s a n d s t a t e me 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 r

f o r any 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 o mmi t t e e s .

SCHEDULE

A MONETARY

( Re v . 0 7 / 0 3 ) RECEI PTS

QCHECK THI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE* RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

I D# T y y t , r , l a k ,0 / / 1 q 0 b 7 3 a . NV~ l ~ a m t 4 s L . n 09

c K#r ( 4 j d OZ l

I D# ~~i - h Gt ) e 1

A Y ,0111Y11 0 1 0 CK# 2 ; d b s - t ~

wr w t + h ( A ' o 3DI D#

SL t , 2 .. ~uCYnl n

0 1! / 6 / 0 6 CK# 0 1 1 1 3 Z 00S 1 , 74

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C C K # 4 ~ ' ~ - s - Av e aZ~ .1 A 5d 6 0- 1 4

I D # K e r r T r

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I D #- 7 1 4 l - ZWW__

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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 F o r m



COMMI TTEE NAME ( M u s t b e s a m e 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 )

QI &YIN

5- 7cw- dvye~As r

R e s e t F o r m

S T A T E C A N DI D A T E S N O T E I F A C ON T R I B U T I ON I S I R E C E I V E D F R O M A ` ~ T A T E P A C ( P O L I T I C A L A C T I ON C O MM I T T E E ) , L I S T T H E P A C I D E N T I F I C A T I O NN U M B E R A N D T H E P A C C H E C K N U M B E R I N T H E D E S I G NA T E D C O L U M N A L I S T OF I D N U M B E R S I S A V AI L A B L E F R O M T H E I OWA E T H I C S A N D C A MP A I G ND I S C L OS U R E B O A R D

CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o 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 mme 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

SCHEDUL E

A MONETARY

( R e v . 0 7 / 0 3 ) RECEI PTS

QCHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR REL ATI ONSHI P AMOUNT 4 I F F ORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

a l l l L l 0 6 CK#/ 1 11 - , ' Dwa i Av - -

S l - A -t ; -701aI D # ~ I l r r ~

O l 1 J ° f l l l h CK#

w~~_ /

A 4 A , , T ' i t v 1 . 1 4 § 1 7 aI D # " ~hY , t ' e o t wpmovd G l ~ x b )

o r / a ~ l a z CK# 3 0 3 1 P - 0 5 5 ~ ' - (

I D # S At ? pY1An t v ' , ~ D) ' ) P~ ( l t r e ~ ~

0 1 / " $ 1 6 +9 CK# 1 0 8r t o t o S 0 b 1 3

I D # 1 ! / o a w* G. ~ i L ~

6 1 / 0- 6 10 6 CK# b b s Nw ~ 1 ~ ~ P~ / v a . ta l f . ~ O~ 9 7 3 0 - 3 3 1 b

I D #~ V n r i ~ j 3

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Fo r I n s t r u c t i on s , Se e Back o f Fo r m



COMMI TTEE NAME ( Mu s t b e s ame a s op S t a t eme n t o f _ O r g a n i z a t i o n )

O

R e s e t Fo r m

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECE I V ED FROM A S T AT E PAC ( P O L I T I C A L ACT I ON C OMMI T T E E ) , L I S T T HE PAC I D EN 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 T HE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .

CAU T I 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 an 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 omme r c i a l p u r p o s e b y a ny 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 mmi t t e e s .

SCHEDULE

A MONETARY( R e v , 0 7 / 0 3 ) RECEI PTS

Q CHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR RELAT I ONSHI P AMOUNT J I F FORRECEI VED( MM/ DD / YR )


TO CANDI DATE '( i f a p p l i c a b l e )

RECEI VED FUND-RAI S E R

NUMBER I NCOME

I D# . ~ b~ J 1$.$

f ' 7 t v ~1 i 1 . 4 , So

0 1 1 b 8 1 0 4CK# a s - , v ~0

~~s s r , ~ ~ vdl ~I D#

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J , ~ I s 0

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F o r I n s t r u c t i o n s , Se e Ba c k o f F o r m

CONTRI BUT I 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 TT EE NAME ( M u s t b e s a m e a s o n S t a t e m e n t o f O r g a n i z a t i o n )

0t br ( p*_4r

0 " ~

R e s e t ' F o r t n ;

S T A T E C A N D I D A T E S N O T E I F A C O N T R I B U T I O N I S R E C E I V E D F R O M AJS T A T E P A C ( P O L I T I C A L A C T I O N C O M M I T T E E ) , L I S T T H E P A C I D E N T I F I C A T I O NN U MB E R A N D T H E P A C C H E CK N U M B E R I N T H E D E S I G N A T E D C O L U M N A L I S T OF I D N U M B E R S I S A V A I L A B L E F R O M T H E I O W A E T H I C S A N D C A M P A I G ND I S C L O SU R E B O A R D

C A U T I O N S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f i n f o r ma 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 m m i t t e e s

SCHEDULE

A MONETARY( R e v . 0 7 / 0 3 ) RECEI PTS


DATE PAC I D NUMBER NAME AND ADDRES S OF CONTR I BUTOR REL A T I ON SH I P AMOUNT J I F FORRECE I VED( MM/ DD / YR)

( i f a p p l i c a b l e )

AN D PAC CHECKT O CAND I DATE`

( i f a p p l i c a b l e )RECEI VED FUND-

RAI SERNUMBER I NCOME

t ~o 3 ~ o b CK# / ' 3 # A l t - : 14W5 t14(A 5 0 o 7 3

I D # J a h i k s 0 y )

0 & o o b CK#I ~ ~ f

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OP1 6 1 0 6

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CONTRI BUTI ONS - - MONEYTAKEN I N


COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t e me n t o f O r g a n i z a t i o n )

R e s e t Fo r m

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C A L ACT I ON C OMMI T T E E ) , L I S T T HE P AC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .

CAU T I ON : S e c t i o n 6 8 B . 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 o p i e d f r o m r e p o r t s an 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 an y c omme r c i a l p u r p o s e b y an 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 m m i t t e e s .

SCHEDULE

A MONETARY

( Re v . 0 7 / 0 3 ) RECE I PTS

QCHECK T H I S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR RELAT I ONSH I P AMOUNT I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DDNR) A ND P AC CHECK ( i f a p p l i c a b l e ) R AI S ER

NUMBER I NCOME

I D# " ~ a f r t p 3 Sol d '

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j / b r

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Fo r I n s t r u c t i o ns , Se e Back o f Fo r m

CONTRI BUTI ONS - - MONEYTAKEN 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 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 )

1V~~18y

f o r an y c o mme r c i a l p u r p o s e b y an 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 mmi t t e e s .

Rme t Fo r m

ISTATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C AL ACTI ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .

CAU T I 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 r

SCHEDULE

A MONETARY( R e v . 0 7 / 0 3 ) RECE I PTS

0CHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR RELAT I ONSHI P AMOUNT J I F FORRECE I VED( MM/ DDNR)



RECE I VED FUND-R AI S ER

NUMBER I NCOME

o ~ j l ' ~ / v 6

I D#

CK#

r n 4

3 5 a - 3 ~W 3 ' 1 ~ k S t ' $ v ~' [ k s 1 1 + 5 5 o 3 L ( ( + . . f 6 )

I D# 5 ) \ C u io a - I M 0 L CK# 6 ` 7 ~ l Gw

1 5 N e , v . ,I D# 5 ~ r ' k- - 4e r , ns - ~~ . -

o a l n b CK# Po - & , V t l ~

l ~

I Oa

I A )

5a . c i ~d > f s o G tI D#

~pl e ~ L. 5 ~t y l r " f

0 4 n f o b cK# "~ 1 3 3 L&r p~ ' e u Y 1N. r , ,

5 6 ~ i u y 1 " N ~ l U 4

I D# ~; 1~ Q 9 1 , 5 , e l l

o a ~ h o L CK # 75333 r , f t C e l ~ SD- va#, 4 3 / A m , 1 So o a - o

ob

I D#4Pl~

hao~ 1~ CK# a - o v~.




CONTRI BUTI ONS - - MONEYTAKEN 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 PJ AME ( Mu s t b e s ame a s on S t a t e me n t o f O r g a n i z a t i o n )

f o r a n y c omme r c i a l p u r p o s e b y a ny 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 mmi t t e e s .

VSTATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S R E6 E I V E D FROM A S TA T E P AC ( P O L I T I C AL A C T I ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T H I C S AN D CAMPAI GNDI SCLOSURE BOARD .

CAUT I ON : S e c t i o n 6 8 B . 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 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 r

SCHEDULE


Q CHECK T H I S B OX I F

AMENDI NG FORM

DATERECE I VED

PAC I D NUMBER

( i f a p p l i c a b l e )NAME AND ADDRE S S OF CONTRI BUTOR RELAT I ONSHI P

TO CANDI DATE'AMOUNT

RECEI VEDJ I F FORFUND-

( MM/ DD/ YR) AND PAC CHECKNUMBER

( i f a p p l i c a b l e ) RAI S ERI NCOME

I D# _ b a u i e Q L G t ) ; e so q n / o b CK# C473 . / 0z~-

$ v z ) . v vb I f I V i l i b A S v B 6 4

I D# L i A d o , v o w e d -o a / r ? / 0 1 ~ CK#

' t a 7 0

2o b 3 i q 0 o lAYi ~ 6~h , ~ 1 7 4 S ' 0 1 1 5 J 0 v~

I D#" - - r 1 - _

018/o4,CK#

4 - 7

r s ~ - , A l e - l v a j , t J Z ~b o oI N r k _ L f

v 3 - ~ « r / v b CK#~3

~J!

1 ~ e v

b t h f i t '

5 ~ . r~SQ 3

'

( ~ f 1 0 b

I D#

CK#

YY ' , ` G 5 2 ~ ~

° I ~r J V u ~/ V Al v y Ao A

I D# r , y r A - -

CK# &O~! r v ~ r v ~ t +



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 m

CONTRI 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 ( M u s t b e s a m e a s o n S t a t e m e n t o f O r g a n i z a t i o n )

o

~ 1 1 2 4r ,

R e s e t F o r m

S T A T E C A N D I D A T E S N OT E I F A C ON T R I B U T I ON R E CE I V E D F R O M A S T AT E P A C ( P O L I T I C A L A C T I O N C OM MI T T E E ) , L I S T T H E P A C I D E N T I F I C A T I O NN U MB E R A N D T H E P A C C H E C K N U M B E R I N T H E D ES I G N A T ED C O L U M N A L I S T OF I D N U M B E R S I S A V A I L A B L E F R O M T H E I O WA E T H I C S A N D C A MP A I G ND I S C L OS U R E B O A R D

CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o 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 mme 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 m m i t t e e s

SCHEDULE



DATERECEI VED( MM/ DD/ YR)

PAC I D NUMBER( i f a p p l i c a b l e )

AND PAC CHECKNUMBER

NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI PTO CANDI DATE'


AMOUNTRECEI VED

J I F F ORFUND-RA I SERI NCOME

~ 1 3 / QL

I D #

CK#

P o t S ' b ~~ ~~ ' 1 l l~C Ou u r " - l ~s

~ Z I l ~$ a C A - - ,

oa~~1A6

I D #

CK#

4 0 3 5

- , fr pr 1d ~

l t o k r r r k f r Z Q r v o t " L r 1 l a d . 9 0

I D # ` e v e r ( ~` A NA n f o Yl

0 , YT/ OL CK#s k ~ ° °

l ~ s o r 9 t r c. t o 5

~D, Cl 0

v Z A / j * f 6 b

I D #

CK# $ I l i l l SpYU c t ' S ` { '

t A 6 0 3 0 70

I D # M` Cq u l e

CK# 3 0 3 _ P 1 u r hy } -

/ 0 t ) a d

o a ~ a l o t

I D #

CK #

~~~ AYr t ~ 2 r / ~

( o «nwu v r Y a s . a a



Fo r I n s t r u c t i o n s , Se e B a c k o f F o r m



COMMI TTEE NAME ( Mu s t b e same a s o n St a t eme n t o f O r g a n i z a t i o n )

R e s e t 1 ~ t y t t t

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S 4EI VED FROM A STATE PAC ( P O L I T I C AL AC T I ON C OMMI T T E E ) , L I S T T HE P AC I D EN T I F I C A T I ONNUMBER AND THE PA C CHECK NUMBER 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 FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .

CAU T I 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 ny 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 a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

SCHEDULE

A MONETARY

( R e v 0 7 / 0 3 ) RECE I PTS

Q CHECK T HI S BOX I F

AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR RELAT I ONSH I P AMOUNT I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR ) AND PAC CHECK ( i f a p p l i c a b l e ) RA I SE R

NUMBER I NCOME

D#

t

~

O

°L CK# ~U - t SN~ > I

~ $

1 A a34~

o 2 ~ 6 3 l 0 L CK# v , 5 v /LA%CA-4/ 4 0 y , 1 4 5 ~ u v3 1 615

1 <I /I D #

Ic y

4 c , ) ' I n & V- ,

v a 6 b CK # t i o b ` t °t l l i 6 +h r w~t o

I D #6"A. - _ A , ,-~

Ob CK#

-

s v 3 S L " . a c e4 s

1 A3 Q . t T

f 5

I D#A _ . -

a o b c K# ~v l 404~ -~ 5 J Z~

a ~ . . o s v 1I D#

Jo - r i a - { i v y ~ - a. b . . Y'Lw~bJ

CK # l 0 a ) 1 oWO% " 5 t



Fo r I n s t r u c t i o ns , Se e Ba c k o f Fo r m




< : nf br l ` P

W~Ty

O~AU

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S R E CE I V E D FROM A S TA T E P AC ( P O L I T I C AL A C T I ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND TH E PA C CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD

CAU T I 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 mme r c i a l p u r p o s e b y a n y p er 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 mmi t t e e s .

SCHEDULE

A MONETARY

( R e v 0 7 / 0 3 ) RECE I PTS


DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR RELAT I ONSHI P AMOUNT 4 I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE " RECE I VED FUND-( MM/ DDI YR ) AND PAC CHECK ( i f a p p l i c a b l e ) R AI S ER

NUMBER I NCOME

CK# 0. 9

CK#

$GS

b9 l y l 8 ~L h _1 7 +

1 7 1 ' O

. ~ ~ ~ a ~ ' 4 c 3 D

1r 1 sI D#I " ' y I S ~ A / ( w" `

jd~ f i b CK# 1 1 D / 1 CGa A 1 ' 1 d ' v° ~ a " t TZ ~

G 2( 5 71 5 L 1 i r 1

p~ a ~ f v b

I D#

CK#

5 ) 1 f . ~ 1 c ~ 5

9Z f d , r ,

~ / O S ' , J Z ~GJ h r O 5 ~ 3 c ~ 5

7 A~ 1 ~ , n 4 i i ` A z ~ - ;

o

4 / 6l o z 1 t ~o a ~ a ~ r ~ f a L c K#

S" 'e ` 4

I D# whe y I ~. Y , k -

OVOY0 4 CK# i t ) l 0 f A i ' ~ d



For I n s t r u c t i o ns , SeeBack o f For m

CONTRI BUTI ONS - - MONEYTAKENI N


COMMI TTEE NAME( Mu s t b e s ame a s o n S t a t eme n t o f Or g a n i z a t i o n)

SQ~ary d~ 7q

STATECANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROM AS7ATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I S T THEPACI DENT I F ICAT IONNUMBERAND THEPACCHECK NUMBER I N THEDESI GNATED COL UMN . A L I S T OF I D NUMBERS I S A VA I L A B L E FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.

CAUTI ON : Se ct i o n 68B. 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 ma t i o n c o pi e d f r o m r e p o r t s and 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 r

f o r an y c omme r c i a l p ur p o s e by an 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 .

SCHEDULE

A MONETARY

( Re v . 0 7 / 0 3 ) RECEI P TS

0CHECK THI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTRI BUTOR RE L A T I ONSHI P AMOUNT J I F FORRECEI VED ( i f a p p l i c a b l e ) TOCANDI DATE" RECEI VED FUND-( MM/ DD/ YR) AND PACCHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

I D#L~20 I ~ ~ t ' . 6 1 r d l

o * 0 y e b CK# 3 ~ 1 1 I r y e ` 4 Y\ $/ t J a . 0 Z )1 1 5 1 r

Ut ~ s ' ' 3 1 1

I D# ,

KS~ ~wf 'Q

~ ~v 3 Ow CK#

v v t I DO-

I D# 1. 1 ' e (h a 7 ~ ' 1 MQ

-

0 - y 0 !- / 0- b CK# 40y ` /A

J 0 .O, f o - s l

I D# L , ~r r s mO* o l d G CK# 3 3 Z ~3

6 1I D# m O' Dot M

' / 0c ~' ` 3 j Ob

Z ' * ' S l s i m Ct ~ v 7 4 S0

I D# , L r r i p/ 1

CK#



Fo r I n s t r u c t i o n s , Se e Back o f Fo r m




c ~' ~Yt ~

~~

- ~

' Gw

o f Ak

STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECE I V E D FROM A STATE PAC ( P O L I T I C AL ACTI ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER 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 FROM T HE I OWA E T HI 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 w a C o d e , p r o h i b i t s t h e u s e o f i n f o r ma 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 omme r c i a l p u r p o s e b y a ny 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 mmi t t e e s .

SCHEDULE

A MONETARY

( R e v 0 7 / 0 3 ) RECE I PTS

QCHECK T HI S B OX I FAMENDI NG FORM

DATERECE I VED

PAC I D NUMBER( i f a p p l i c a b l e )

NAME AND ADDRESS OF CONTR I BUTOR REL AT I ONSH I PTO CANDI DATE`

AMOUNT

RECE I VEDJ I F FOR

FUND-( MM/ DD/ YR ) AND PAC CHECKNUMBER

( i f a p p l i c a b l e ) R AI S ERI NCOME

I D#1 ~ F 5h t A 1 4 - Z ,

6 3 1 o 3/ ! Ob CK # ! 2 d ~ t L1 1 1o f f -

/ v ( 9 e pI F - 4 ~t ' Z~4~

I D#_ 1~ v0, L p c t , , ~ J s ^ - ,

0 3 1 0 3f 0L CK# 1 6 _' 3 / 0 1 4 4 h . -

&D04 -V771 7 5 5 - h p - s 1 1 1 6 t r o S 1 Da l l 5 ~ '

0 0 3! 1 6 1 CK# 3 5 v ~ l s t tC ~ e

r I P o Q ~~~3~ AM. e 0s v

C)3 l o q ~OL

I D#

CK#

F : 1 0 1 y " - 6 -y o .. 5 : 5 / 9 0 a 5 ' .

a 1 ° 1 W) n -h t s v ~ ! SOo1 3

. ~°` 7aY~

Db

I D#

CK#

~ ~ o t n y ° z me S

1 , 6 0

y t ' "

Oa l y t j ~~Aw_ , OZ )a~ ~ ~d c , ( , q 5 ' a a -I D#

f G0 _ 1 k L~

O~1~Yl y j CK#p0a~



Fo r I n s t r u c t i o n s , Se e Ba c k o f F o r m



COMMI TT EE NAME ( Mu s t b e s ame a s o n S t a t e m e n t o f O r g a n i z a t i o n )

Ot ~ 5Y~ t / y \ ~~~ sec

R e s e t Fo r m

STATECANDI DATES NOTE : I F A C ON T R I B U T I O N I S R E CE I V E D FROM A S T A T E P A C ( P O L I T I C A L A C T I O N C OMMI T T E E ) , L I S T T HE P A C I D EN T I F I C AT I O NNUMBER AND T H E P AC CHECK NUMBER I N T H E D E S I G N A T E D COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I O WA E T H I C S AND C A MP A I G ND I S C L O S UR E BOARD .CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o 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 mme 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 mmi t t e e s .

SCHEDULE

A MONETARY

( R e v . 0 7 / 0 3 ) RECEI PTS

CHECK T HI S BOX I FAMEND I NG FORM

DATE PA C I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT ~ l I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE" RECEI VED FUND -( MM/ DD / YR) A ND P AC CHECK ( i f a p p l i c a b l e ) RA I SER

NUMBER I NCOME

I D# 5 h A n n o n L M A Y - - r ) : 5

~ c ~ $ 0OVo g l o 4 ' CK# s as ' -14 s i - N - 0 > > 4I a n s ' , ! W) W)

I D# ' b e" a4~ Mo r rO' , 5 ~ o 9 1 d b CK# 1 ' 7 Th d y r &K _ Cr

l e l f o r - " 1 9 lI D#- F- " i ' 1 w~ , ~ 6 eC~~- t r Q~ ' 1 3 C~ . .

0 o7/ 1 0 CK#

3 3 4 1 ' b t r vI D# I / i

O~I l CK#' 4 b

l o l l ~ ' ~ NYArV

F l A r sS, ~I D# r ? I t I wn

03l 0 ~ab

c K# l f hC r "

? l o d. o ~

:Oz-7i-, 6e ) 3I D

~. 5: " h I Ct Yb aUt ~ ' 1 1 , ~

h6 04 d L CK# 19715 ~o d _44 1 ~ I ~ ( r wa ~ ' j 3-06



Fo r I n s t r u c t i o ns , Se e Back o f F or m



COMMI TTEE NAME ( Mu s t b e s ame as o n S t a t eme n t o f O r g a n i z a t i o n )

OtbLe2/~4ar

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RE CE I V D FROM A STATE PAC ( P O L I T I C AL A C T I ON C OMMI T T E E ) , L I S T T HE P AC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER 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 FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD

CAU T I ON : S e c t i o n 6 8 B . 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 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 an y c o mme r c i a l p u r p o s e b y an 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 m m i t t e e s .

SCHEDULE

A MONETARY

( R e v . 0 7 / 0 3 ) RECE I PTS

0 CHECK T HI S B OX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR RELAT I ONSHI P AMOUNT J I F F ORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECEI VED FUND-( MM/ DD/ YR ) AND P AC CHECK ( i f a p p l i c a b l e ) R AI S ER

NUMBER I NCOME

I D# F Y ) n 5 ) r l l x Pam° ' ~ l l v b

CK# 7 l r 5 t ' ~ ~ e l u l l r $o . t R ~f 1 W S '

I D#( 0 ,k

ob CK # ? 0 WSwh

~ l a i k n l ' dI D#

I S L~ a l l c y J e a n 1 r 3 1I t s Ob CK#

; 1 4 H4YAS b u y s PA 1 - 7 1 0 9 ,

I D#J

o X106 CK#

3 6 ~ 4aI N ~ .

OY l I f o b CK# f s ` I . ~ r ~>a r ~

/ Y t lo ~ ~ 0 3 aI D# ~~ p W; / l r a r ' ` s

n 3 ~ * a ~ cK# I ~O~h S r 0 . 1 T L 7






COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e m e n t o f O r g a n i z a t i o n )

t C' Tnwm. - F&,rS4~P'

STATE CANDI DATES NOTE : I F A C ON T R I B U T I O N I S R E CE I V E D FROMA s T C T E P A C ( P O L I T I C A L A CT I O N C OMMI T T E E ) , L I S T T H E P AC I D E NT I F I C AT I O NNUMBER AND T H E P A C CHECK NUMBER I N T H E D E S I G NA T E D COL UMN A L I S T O F I D NUMBERS I S A V A I L A B L E FROMT HE I O WA E T H I C S A ND C A M P A I G ND I S C L O SU R E BOARD .

CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o 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 mme 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 mmi t t e e s

SCHEDUL E

A MONETARY( R e v 0 7 / 0 3 ) RECEI PTS


DATE PAC I D NUMBER N AME A ND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT 4 I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND -( MM/ DD / YR) AND PAC CHECK ( i f a p p l i c a b l e ) RA I SER

NUMBER I NCOME

I D# o$ - ~A r ~ y Q eC l r t

o u o L CK# 3 , 0 1 G=C%~y t o t

t ~ ' h o e n ~Z S- So a .$

3 1.

I D #J ~ L I Y t Yf e. 1 ~ ' f 0 ` r t ~

CK# 3 5

~ 1 1 ~ ,

o , ~

m1 Y e - Od ` 1 O

I D# MAl 4Y14e. N C v r r l i ~ - v t ~O CK# G t , U I y l L l v . o ~

o~ n . SwZ3'

0 ~ 1 9 1 o b

I D#

CK#

Dy k

1L 1 ~, ~ 191 l ~O

1 ~ , 1 1 4 NV A J \ 1 _ 02 00

d ~Hl t l - 0- : 1 4 - F( a y n.r4AN

CK#1 _ 7 2 ~ a / a s

I D #~ Qr ~ t~ a YI S

d. ~ i g l d b c K# yd ~ 4 l b~n7 S - ~ 51~ . 15 ~~







Q' &Ye , , \ --0"*

R R e s e t F or m

C EI V ED FROM

T AT E P AC ( P O L I T I C A L A C T I ON C OMMI T T E E ) , L I S T T HE P AC I D EN T I F I C A T I ONS TA TE CAND I DATES NOTE : I F A C ON T RI B UT I ON I S R

NUMBER AND THE PA C CHECK NUMBER 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 FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD

C AUT I 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 ma t i o n c o p i e d f r o m r e p o r t s an 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 mme 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 mmi t t e e s .

SCHEDULE



DATE PAC I D NUMBER NAME A ND A DDRE S S OF CONTR I BUTOR RE LA T I ONSH I P AMOUNT J I F FORRECEI VED( MM/ DD / YR)


A ND P AC CH ECKTO CAND I DATE '

( i f a p p l i c a b l e )RECE I VED FUND-

RA I S E RNUMBER I NCOME

I D# lGo c ~

6 9 4 1 - 1 V _ r n a . 1 CO d 1

bay/ ,0 b

I o #

CK# Ia O- W Au k A ) # 3 0 3

0~k ~ ' 9 ~ J o 3I D#

b a lld k CK# - 7 1 ) , C ) b . - F r A l t - 0 -

s J -A t ~V 1 2 )

0~l o b

I D#Ya s

f s ~ s " r 1 ' n7v ' G

CK#

a - 1 FS ~¢ A 6e0I D# e. ) Y I R3 I ~

c l a l b , CK#x ~~ 3?~ hink1 A - 6 - o . Y a

I D#( 0 5 0 16,n r ,

f i - I 3 0 9 Wc K #






COMMI TTEV NAME ( Mu 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 )

R e s e t Fo r m

STA TE CANDI DA TE S NOTE : I F A CONTRI BUTI ON I S RECE I V E D FROM A STATE PAC ( P O L I T I C A L ACTI ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S A V AI L A B L E FROM T HE I OWA E T HI 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 an 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 mme r c i a l p u r p o s e b y an 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 mmi t t e e s .

SCHEDULE

A MONETARY

( R e v . 0 7 / 0 3 ) RECEI PTS

QCHECK T HI S B OX I FAMENDI NG FORM

DATERECE I VED

PAC I D NUMBER( i f

NAMEAND ADDRESS OF CONTR I BUTOR RELAT I ONSH I PTO CANDI DATE"

AMOUNTRECE I VED

4 I F FOR

( MM/ DD/ YR )a p p l i c a b l e )

AND PAC CHECK ( i f a p p l i c a b l e )FUND-R AI S ER

NUMBER I NCOME

I D#

o o a

v 3 l l j o bI D#

CK# ~ f 3 ~ 3 St r u . f ~ C 6 ~l o b . 6 Z~

/ h 1 r > , r i ~~ ~ l ~ N$5~D

o f l C) 4 l 0 ( ,

I D#

CK#9~b~sA N~ -

Yar , 4

- ~ 7 ~ a5b" t J ' Z7 0

, S ' 0 0 3 jI D#

5 p n n a ~ ~ ' LYk ~ " f I t n~ ' PST

- 0 y / 0 ,5 / & CK #~a3s 6Ao , - _/ Nr c a m )

S~. J ~Ce ~ . r L d s l A S a ' ~ o a

oyl d db

I D#

CK#

( , v j I I t g M

3 ~l l 3 ~. y (

D°L u r c 6 ~

` 0 1 ~ .6d&., 1 1 t 7 4 S06f 3D#

A y d w u ) Ya . t a nCK# / Z , l Y






COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me nt o f Or g a ni z a t i o n)

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C AL ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI F I CATI ONNUMBER ANDTHE PACCHECK NUMBER I N THE DES I 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 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 ma t i o n c o p i e d f r o m r e p o r t s a nd s t a t e me 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 an y c o mme r c i a l p u r p o s e by a ny p e r s o n o t h e r t ha n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

SCHEDULE

A MONETARY

( Re v 0 7 / 0 3 ) RECEI PTS


DATE PAC I D NUMBER NAME ANDADDRESSOF CONTRI BUTOR RELAT I ONSH I P AMOUNT 4 I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE" RECEI VED FUND-( MM/ DD/ YR) AND PACCHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

I D # Ke r ~ ~G1 ~~

[ k , 4 ( ka Y l o 7 j o b CK #A"Oya

/ 000

' ~uc s o r AZ - ~ " ~ 3

c y

l

a ` ~

/

o k CK#

3 FCA1

a c t -

i e (

f

A s a s Z~a ZS . c T ~

I D #6 < , L Yy V

n1 6 ' - t v YVf/ 0 _ 7 1 /

. 0 CK# GL hW

I D # ~ Ct n t ~ ( i t ML ( J I r ~

oY 1 6 9 1 . 0

b CK # I

2 W3 hW 50 . 0 0

l 6 d 7 WOO M S o d s ~ o

I D # Ay JwW

a ~ ! f ~ 9 l v b CK#3756 -

7t c 7 l e , , l ~ w

` I V2 I c G " 1 Da. ° I )

0 Y 1 1 + / v b

I N

CK#

t t _

. 5 0_

~ 4

-

1

GN

_ B _ _ S

) r a ~ , ~ I t 1 A - w - VP611~ oZ5 . c T 1 ~






COMMI TTEE NAME ( Mu s t b e s ame as on S t a t eme n t o f O r g a n i z a t i o n )

` R e s e t , F o r t n

C7 t L~

~o r~A~

o , Ak

STATE CAND I DATES NOTE : I F A CONTR I BUT I ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L AC T I O N C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD

CAUT I 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 ma t i o n c o p i e d f r o m r e p o r t s an 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 omme r c i a l p u r p o s e b y an 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 mmi t t e e s

SCHEDULE

A MONETARY

( R e v 0 7 / 0 3 ) RECE I PTS

QCHECK

T HI S B OXI F

AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR REL AT I ONSH I P AMOUNT J I F FORRECE I VED( MM/ DD/ YR)


AND PAC CHECKTO CANDI DATE"



NUMBER I NCOME

I D# - 6 - a L j Sc . h l a - c 4 {

o 1 ' ~ j O a CK# z b . W1 b 4 - ) , , ~

f l a n l L 1 A 5 0 4 0 a -6 ~

I D#

~ q; ePh

f t

~ rs ~ _0CK#

4

to

r 4 f ~ a l n 4 + c . .t $OOda

I D#~. p t ~ ( ~ ~ l f f e l l n . ~

c i ~ I A + f a b CK # 3 l S P , p l o ~0 ~ ,7c 1 D f t

3 t t s a ( / , 4 i 5 o o :I D#

_

y l 1 w b / ~ ' v GC 1 CK#

1 3 ' 7 , y f ~ e6 c - - 4 5 u 0 t aI D# 1 4 A r Wr / V p p l r v n z [ j ' Rel , , 8 1 r

P6 1 5 L_ r ~

CK# 04 - 7 Nok I A

b ~/ l ~ f ~Ob CK# ~our5A v e - 'S





COMMI TT EE NAME ( Mu 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 )

Re s t F o r m

STATE CAND I DATES NOTE : I F A CONTRI B U T I ON I S RECEI VED FROM A STATE PAC ( P O L I T I C A L ACTI ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER 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 FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .

CAUT I 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 an 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 an 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 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 .

SCHEDULE



DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT J I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECE I VED FUND-( MM/ DD/ YR) AND P AC CHECK ( i f a p p l i c a b l e ) RA I SER

NUMBER I NCOME

I D#L - n y x

CK# 6 0 + / ( o - 7

I I PA

$- ' o

L

I D # _" Y, t o f 3 - t l

O#hT h b CK# 3 / / / V I N 4 - A - e S~ . v l ?

Ar i e s l A SOba, 3

o j 1 , f f d l ~

I D # M, f . u s

I P l~ « y ~ ~

a7. t 3 aCK#

1 s " v 1 3 ~ 1

I D#-b e s n - q n9" , \

0 - y / 1 1 1( C A, CK#

<Tre~~a ~a6. ) c ~ c R~

v l o

0

I D # A e a l

GA" r b~44 L < c a ~ l t i ~

O. 7 .

CK#

I D # / K~ cf - t - f MW y y" l

- 0 Y 1 1 Y j o b CK # - 7~ 1 5 r( 5 ' , 7

0 7 Z ) F = 7






I COMMI TTEE NAME ( Mu s t b e s am e 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 )

&Eyi e4%

r ' a vY °t <Ak

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C A L ACTI ON C O MMI T T E E ) , L I S T THEPAC I D EN 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 A V AI L A B L E FROM T HE 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 w a Code , p r o h i b i t s t h e u s e o f i n f o r ma 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 mme 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 m m i t t e e s

SCHEDULE



DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI V ED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

I D# l Yt AV

b ~ 1 1 1 ~ I Ob CK# L t l ' ~ k ~ ~ St A CGa h , ~ $

t v3

I D# T~Q. r d - G h r l~ to ~ f 1 r ~ f o b CK#

Z ~ ~ 7 ~ e~ s AMI ( c a c 3 t ~

.

s63a

: 5I D# Pa l l , AI L No t - F i 4 a l r a : S e r

O s I / I ~ ~OL CK# S t t f f w v t v , L V t

~~l u , r d l ( A

i vyC C 0 z )

I D#Pat ' r o r G t i c f ' S d t ' ~ t 1 ~e ( Y+~ ) Y f

a f r ~ f l v L CK# 5~w+YV e t

~ ~1. ~

1 7 4

+wl ( c a

C a t r U

6 y l / V / Ob

I D#

CK#

, ~

J l l a -

t / ( c aI D h

Hl3 1 J 9

l , )ao f )

Qc 6 l h o ) r . j l ~ ~ ' v 3 b9

I D # ' a , ( y y \ o "






COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t eme n t o f O r g a n i z a t i o n )

QI V v ~~ Pr + l ~ , ~U~~~G

UCv

STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECE I V E D FROM A S T AT E P AC ( P OL I T I C A L AC T I O N C OMMI T T E E ) , L I S T THE PAC I D EN 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 A V A I L A B L E FROM T HE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD

CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a Code , p r o h i b i t s t h e u s e o f i n f o r ma 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 an y c omme r c i a l p u r p o s e b y a ny 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 .

SCHEDULE

A MONETARY( R e v 0 7 / 0 3 ) RECE I PTS

CHECK T HI S BOX I F

AMENDI NG FORM

DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTR I BUTOR RELA T I ONSH I P AMOUNT 4 I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECEI VED FUND-( MMI DDI YR ) AND PAC CHECK ( i f a p p l i c a b l e ) R AI S ER

NUMBER I NCOME

a f 1 N ~ o ~

I D#-

VVt a r~ ' ' 9 b a ~

n~

r v l sGh~ ~ a Y ( c a ~~

$ ; . ? d z )CK#

Af - l ~ t ~ l r ' sI D# / YL a&G4Wkvj *

o f 8 a l o t , CK# 1 - 6 1 e v af s AL n

1 " 1 t . 2 ( AI D# r ~ t n

0131lab CK # ° 1 7 5 9 A Te a Sd .

3 5 ^ 9 o . a SI D# $ u s g n I l

v i i a 1 a b CK# 3 1 1 F a , h ~ 5~

I D# ShU. ~ ' ~ -~1 NW~ ~

a l a i f o6

CK#

/ Od O t ~

oL g b o ' ; A 5 ' 1 3 5 5. _ ,I D# b oa L 0 c t w s a t i ,

. u i ~ ~ d l l Ob CK# / . 0 3 7MTh







0I Po ( l p y l - TWSTATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECE I V E D FROM A STATE PAC ( P OL I T I C A L ACT I ON COMMI T T E E ) , L I S T T HE PAC I D EN 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 A V AI L A B L E FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .

CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a Code , p r o h i b i t s t h e u s e o f i n f o r ma 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 omme r c i a l p u r p o s e b y a ny 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 m m i t t e e s .

SCHEDULE

A MONETARY

( R e v 0 7 / 0 3 ) RECE I PTS


DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTR I BUTOR REL AT I ONSH I P AMOUNT J I F FORRECE I VED( MM/ DD/ YR )


TO CANDI DATE`( i f a p p l i c a b l e )


NUMBER I NCOME

I D#

4 1 V / , 3 - 3 1 0 1 1 CK# i ! o ~ f l F s ~ h ~"I ~

$a5. c I V

Irla ~ o . ~ r o 5 d3I ~

I D# S t AL ( t e G Qi s_

a ~ f a ~ / 0 bCK#

o f f ` !

` f ' t I t y , . 04 - ~ a - < -

( A S b v

I t

D~

I D#

CK#

~ ( Qn I S t ? e

4 - _ 5 t 5 D - 6 2 )d- S u SaOaS

I D# / 1 1 r , , r i ~ * s c h 1 4 ? So y / a ~ o ~ CK# s 3 s g ad - S O

3 l &. 1 l ( a r 7 S~I D# e b e 4 & , WdV v 5

CK # - ~ VP / So~ kt l r 4 S / 6 3 ~ 1I D # _64~

- Sa k r i nT o n 4 J AJ I ~

~ r L ~ ~ ~1 J l -o~ a 3 l o b CK# 443 ~ c ~ 0 . Da





COMMI TTEE" NAME ( Mu s t b e s ame a s o n S t a t eme n t o f O r g a n i z a t i o n )

OI bY1~e , ^ - -~~~Rese t Fo r m

STATE CANDI DATES NOTE : I F A CONTR I BUT I ON I ~ RECE I V ED FROM A STATE PAC ( P O L I T I C A L ACT I ON C OMMI T T E E ) , L I S T THE PAC I D EN 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 A V AI L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .

CAU T I 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 an y c o mme r c i a l p u r p o s e b y a ny 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 m m i t t e e s

SCHEDULE

A MONETARY( Re v 0 7 / 0 3 ) RECEI PTS

CHECK T HI S B OX I FAMENDI NG FORM

DATERECE I VED PAC I D NUMBER( i f a p p l i c a b l e )NAMEAND ADDRESS OF CONTR I BUTOR REL AT I ONSH I P

TO CANDI DATE`AMOUNTRECEI VED

4 I F FORFUND-

( MM/ DD / YR ) AND PAC CHECKNUMBER


I D# / Y / . I C ' v S a f h G r i v c , l a T

/ f w I f t e s l 7 s 0V

o i ~ l a s s / o b

I D#e r

7" 1

aCK # ~ ~ ~ v o . 0 0

I D #

0 q 1 - ; y 0 4 1 CK# ~~r~- f T

a f ~A, / j &oa

Gtr16T

I D#L Ai t r o " ,

~0YO1D( 0 CK# 3 3 1 G0. 51~ -P o ~ ~ . UvFd t hl ~ Pd~~- ~L ( ~ v 3 ~

v ' s l a l a b

I D#5 an L i e a b e y + t ,

3Nw S5 h h

Cwcb

~ aX0 0 .CK# AY ,L ' 1 : ~ \ / I . A Sb t 3I D#

p o r ~ y : u 0 ` ' y s t n ~C ~ )

~ 5 1 0 3 1 0 ~ CK# a 3 0 s 62nw~ '






COMMI TTEE NAME ( Mu s t b e s ame as o n S t a t e me n t o f O r g a n i z a t i o n )

O1 8Yt woL J T

STATE CANDI DATES NOTE : I F A C ON TRI B UT I ON I S RECEI VED FROM A S T A T E PA C ( P O L I T I C A L AC T I ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN A L I S T OF I D NUMBERS I S A V AI L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD.

CAUT I 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 an 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 an y c omme r c i a l p u r p o s e b y an 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 mmi t t e e s .

SCHEDULE



DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT J I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE" RECE I VED FUND-( MM/ DD / YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

I D#

aK -r SO l n ¢ ~Y

$ -0! ; / 0D/ 04 c K# 7 S d u - N 1 ( ~ 9 - F h CY

~ ) L . r

~ 9 e t 0 , , , a . ~ 6 , S i 3 vI D# K V ' I ; 4 e Y I P

p -5f o o b CK# ! 1 1 - ~ I D 1 4PI 4 e l 06I D# n _ C

d rL - 1~Ct b " 7

00 5 b b CK#

SUo ~ .I D#

0 o e b CK#

7 a~ J -5 r ufA ~ 0

o 5 1 a ~ p b

I D#

CK #

.Ch y i q u o r

a a~ 6 G / p0. oC~

s ~2nne oI D#

VI D1AI nY?, ` ~

o~o51ob CK# $vb c~wl ~ a a5. Ol J






COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t eme n t o f O r g a n i z a t i o n )

I { e b e t F or m

STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED F R

A S TAT E PAC ( P O L I T I C A L ACTI ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I O N

NUMBER AND THE PAC CHECK NUMBER 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 FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD

CAU T I 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 an 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 an y c omme r c i a l p ur p o s e b y a ny 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 .

SCHEDULE

A MONETARY

( R e v . 0 7 / 0 3 ) RECEI PTS

CHECKT HI S BOX

I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT J I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECE I VED FUND-( MM/ DD/ YR ) AND P AC CHECK ( i f a p p l i c a b l e ) RA I SER

NUMBER I NCOME

I D #Q6~y I G 3

-CK # ~ 1c . I

U

I lA S

n~ v Z c K#

f f f 5 ~

a_ DPs / * I Y4 3 S o 3 1 ~

l o #

n ~ "o ~ 1 6~ o b CK# z . 6 o a 5 I b

SO .

I D # ? e A , S e V u s ~ ~

Al ( P6 l o L CK # / ~ f S d 5 1 f 1 ( r t » t PP j e f o e l r

O" d MAI 5 5 ~~1 b

I D # R, r a 4 ~ ) A. & / Y *kh&n f c . , l C r ' f ~ C r

o ~h b l v b CK # S ~ ' a b " f i 1 1f h Y~

c . f a > 1 I So o ~~.

I D #- , ob S ~ x e n e y

o ~ ~ ~ o b CK# 1 5 0 ? As p e h - DraQ. C~



Fo r I n s t r u c t i on s , Se e Ba c k o f Fo r m



COMMI TTEE NAME ( Mu s t b e s ame as on S t a t eme n t o f O r g a n i z a t i o n )

C7 1 f ) Y 1 1 e Y ` - ~~52CW, ~a v

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A S T AT E P AC ( P O L I T I C AL A C T I ON C OMMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .

CAU T I 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 omme r c i a l p u r p o s e b y an 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 mmi t t e e s .

SCHEDULE

A MONETARY

( R e v 0 7 / 0 3 ) RECE I PTS


DATE PAC I D NUMBER NAME ANDADDRESS OF CONTR I BUTOR REL AT I ONSH I P AMOUNT J I F FORRECE I VED( MM/ DD/ YR )


TO CANDI DATE`( i f a p p l i c a b l e )


NUMBER I NCOMEI D# t 7 o r t y ~I G~ Y~ L a

0 / a ~ j v b CK#Ai , , - _ L

o r s/ u °u J t 1 s " v d o

.

I D# L e o 7 Du A1 ' 1

O~/ . V O l o ~ o CK#

1 D#

0l. -410bCK# 41 6 + S , 00

1 > ~ wood

C. C a y ka y/~o Z CK#

l - ~;AA . Q ~ S +

S - ~Da 1 - od

o y a 9 o b

1 D#

CK#1 ts ~

" ~ " 0 Ca n y o n / e . 0a, ~ . o aL c , s 6 Y_ Rep AI M $9011

I D# G I " r y a guy r 2

Z w -CK#

a V " P p m s s , vd






COMMI TTEE NAME ( M u s t b e s ame a s o n S t a t e m e n t o f O r g a n i z a t i o n )

0' 6y l ~e n . ! ' r w 5~0~~ 0 - ( " Aa

STATE CANDI DATES NOTE : I F A C ON T R I B U T I O N I S R E CE I V E D FROMA S T A T E PAC ( P O L I T I C A L A CT I O N C OMMI T T E E ) , L I S T T H E PAC I D EN T I F I C AT I O NNUMBER AND TH E P A C CHECK NUMBER I N T HE D E S I G N AT E D COL UMN . A L I S T O F I D NUMBERS I S A VA I L A B L E FROM T H E I O WA E T H I C S AND C A MP A I G ND I S C L O S U RE BOARD .

CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o 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 mme 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 mmi t t e e s .

SCHEDULE

A MONETARY( R e v 0 7 / 0 3 ) RECEI PTS


AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR REL AT I ONSH I P AMOUNT 4 I F FORRECEI VED

( MMI DD / YR)( i f a p p l i c a b l e )

A N D P AC CHECKTO CANDI DATE'


RA I SERNUMBER I NCOME

O ' l l d q j 0 ~ CK# a0a0 1 ' ~k a A - a 5 A ) - 0 0

I D # . 5 - G n 2 1%; 5 e / 1 ' 1 0 6

0 ' 1 1 a1 1 0 102 , 6 1 ' a

CK #A N t e n s 6 ~ 1 MA Ss 7 a~ . v a

Oj l Or °

I D #

CK #

c o f1 , 7 6 ' a

~ r ^ ) -l r 1k , 1 4 f 0 0 6 0

n ~ +~ 5 0 6 1 1

o f / c a lms

I D #

CK#

i 6 k 4 - Y) + 4F, VVYnm .3 5 3 16 e o , 7 a

~ CaV* r/ 00 . a t ~

A r ws l r 4 5 UI D # ~hh 6 ( t , 5 -.5

&V1 d - - ? 1 V 7- CK#

o V / a g l o b C K # 1 1 s s 6 0 1~



Fo r I n s t r u c t i o n s , Se e B a c k o f F or m



COMMI TTEE NAME ( Mu s t b e same a s o n St a t eme t o f O r g a n i z a t i o n )

©I f xi w~. Gw.~, c e - ~ o L

or A

STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P O L I T I C AL AC T I ON C O MMI T T E E ) , L I S T THE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER 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 FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD

CAU T I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a 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 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 omme r c i a l p u r p o s e b y a ny 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 .

SCHEDULE



AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I PAMOUNT q I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE` RECE I VED FUND-

( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SE RNUMBER I NCOME

oy l x l °c

I D #f 76a

h JOS2P

Nameh

5 4 " $c K#Ghe4nh r f ~r 4;nyi1 1 od46 - 7

/ 00(90"

I D # L . o h t KEr n, . ~

d ~ f l a 91 o1 6 CK# Rr ° 1 b30 " d b

r i r G n~/ Y1 J V S~q~

I D # ~ ; ! I ~2r t t i ~.

CK# i 3 v l l a l t h Abe

- - f - t o ) , v - , - A Sb54 j

I N - " , P o , ( ~-_h y r , , , r l

6 Y~ a ` 1 ~ o CK# a l s i v yd, ~ >l ? >G , 00 o a ,

OV

f a 4 l 4

I N

CK#

ea t ~a m

. 3 v jA~ - ~ y

066- 611)

d~f a 4 ) d ~f

I D # TUQ Uth ; S i n ~CK# 100 - 61 )






COMMI TTEE NAME ( M u s t b e s a e a s o n S t a t e m e n t o f O r g a n i z a t i o n )

R e s e t F n r m

S T A T E C AN D I D AT E S N O T E I F A CON T R I B U T I ON I S R E CE I V E D F R O M A S T AT E P A C ( P O L I T I C A L A C T I ON C OM MI T T E E ) , L I S T T H E P A C I D E N T I F I C A T I O NN U M B E R A N D T H E P A C C H E C K N U M B E R I N T H E D ES I G N A T ED C O L U M N A L I S T OF I D N U M B E R S I S A V A I L A B L E F R O M T H E I OW A E T H I C S A N D C AM P A I G ND I S C L OS U R E B O A R D

CAUTI ON S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o 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 mme 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

SCHEDULE



DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR REL ATI ONSHI P AMOUNT I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

I D# De n y t c R u s c ~o g l d , f o L CK # as l

6 a t r ~64 , 1 7 4 1 ( p

A h " , ) Gl ua

OW

~c 1 A s s b

a 9 t 1 4

I D# ~A- r e - 5h4 n _ Z

o o 4 5 t ! ) n " l n 5t ; CK#

k ~LGr e4" 1 1 1 SoYo l

I D# / ) 1 a

/ a~~5a1 1 G

Nw4 0 1 r t e s

0o y f a g j ~ c K# I g 6 AA0 c v ~H

6 e - l A 6 6 / SbI D#

Gy AA t a

01 0 " J d ° CK#Fat r ~~

a t c J V d Or1 A SdSSb

I D#Am _r YUI e L

0OY* / O? O CK # / i t 4 / , ~ - ~~ 0 SU . d d, c n w f t 1 1 L r r o : 5 7 5 3I D#

( - 1 e^ Ae r Wi n

OY*l&

CK# / 0 a N

; ~ ,

n s a y n s f - i v d~



For I n st r u ct i ons , SeeBack of Form

CONTRIBUTIONS - - MONEYTAKENI N

( I n c l u d i n g c a nd i d a t e ' s p er s o n a l f u n d s )

COMMITTEENAME( Mus t be s ame as on St at ement o f Or g an i z a t i o n )

SCHEDULEA

I MONETARY

( Re v . 0 7 / 0 3 )

RECEI PTS

CHECK THI S BOX I FAMENDI NGFORM

STATE CANDI DATES NOTE : I F ACONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I CA L ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I C AT I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD

CAUTION: Se c t i o n 68B . 3 2A( 6 ) , I o wa Code, p r o h i b i t s t h e us e o f i n f o r ma t i o n c o p i e d f r om r e p o r t s and s t a t e me 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 ns orf o r any commer ci al p ur p os e by an 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 commi t t ees .

DATERECEI VED PAC I D NUMBER( i f a p p l i c a b l e ) NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P

TO CANDI DATE'AMOUNTRECEI VED

I F FORFUND-( MM1DD/ YR) ANDPAC CHECK

NUMBER( i f a p p l i c a b l e ) RAI SER

I NCOMEI D#

4 -4 6 1 6 CK#

RPM. L a w CI ~~ s a aI D# Ca r e ) 5 p a z t a n l

O ' f l a g l o b CK# c , Y & 4 v w - j A r c

Z , e wA_ Ct ( 7 4 saaWS90, 00

OV l aq' & CK# 4 6 6 x Tur~Crk 0 t i G a j , t ) I 7HPi c ^6 r A a + o

I D#AA 1 A ) o ~ ` f

o 1 4 1 a R 11 o 4 CK#3S / Y t a o an A~e

3o . 00

I D#

o Y ~ a g f v ~ CK#

l t v ~S~

A p e -S~ - q D a ~ l ~ - D OI i s c - 1 o - w ~ ~ 1 A

v ' f l a g l o b

I D#

CK#

/ h ~n r a G~~

3 o 4 ` 1 ~ u p ' I P ~ P r U






COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t eme n t o f O r g a n i z a t i o n )

d6Yl e Vl 4 ; C ~ ~ ?L ` r e ~1,

, , a >C

STATE CANDI DA TE S NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A S T AT E P AC ( P OL I T I C A L ACTI ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C AT I ONNUMBER AND T HE PAC CHECK NUMBER I N THE DESI GNATED COL UMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .

CAUT I 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 an 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 mme r c i a l p u r p o s e b y an 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 mmi t t e e s .

SCHEDUL E

A MONETARY

( R e v . 0 7 / 0 3 ) RECEI PTS


DATERECE I VED

PAC I D NUMBER( i f a p p l i c a b l e ) NAME AND ADDRESS OF CONTR I BUTOR RELAT I ONSH I PTO CANDI DATE'

AMOUNTRECE I VED

J I F F ORFUND-

( MM/ DD/ YR ) AND PAC CHECKNUMBER


I D#l C l 4 e - Oy e r j _ OQr e , Qb

0 g l a 4f v , (oCK# - 7 ~ o v A)

t ~ ~ - t - Y ~ ( a r ~ . e h ~ ~ o l a y l v v ai D#

~ 4 ar o l ~ Q

01 1 1 / aY/ Ob CK#

Hn ~3 0 0Ca r 1 , 4 6064- a j . 0a

I D #J~, y f t ~ l Y~ ~ - Svrw~ l i U i Aa -

04191Db CK# ( ~ ~~ L L Y' ~ a5. o aGar t ( Sb0~7

I D# n' ( r G

0VI Nf& CK# 7 w z s i o z A 4 h - i tl D " d l ~

F~ ( a l Yt ~ C~ l A Sb~ . ~ sI D#

, ~ 1 ) G nc y ~~1 6ey 1 - s , - . - ,

o yl a vo k CK# 3t w. 65 0 1 .60a ' I y l ' G 1 S

i D #To h ~ ~ n ~ ~ - ~ - o w e

0 + / 1 ~ , 9 I O b CK# 5 u l ~9



Fo r I n s t r u c t i o n s , Se e B a c k o f F or m



COMMI TTEE NAME ( 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 )

df 6ykePJ~~sewj a o~_A1

VS TA TE CANDI DATES NOTE : I F A C ON T R I B U T I O N I S R E CE I V E D FROMA S T A T E PAC ( P O L I T I C A L A CT I O N C O MMI T T E E ) , L I S T TH E P A C I D EN T I F I C AT I O NNUMBER A ND T HE P AC CHECK NUMBER I N T HE D E S I G N AT E D COL UMN A L I S T O F I D NUMBERS I S A V AI L A B L E FROMTHE I O WA E T H I C S AND C A MP A I G ND I S C L O S UR E BOARD .

CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a C o 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 mme 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 mmi t t e e s .

SCHEDUL E

A MONETARY

( R e v . 0 7 / 0 3 ) RECEI PTS


DATE PAC I D NUMBER N AME A ND A D D RESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT 4 I F FORRECEI VED( MM/ DD / YR)



RECEI VED FUND-RA I SER

NUMBER I NCOME

OSI ~ a A I D L

I D # ~V~ . I d ~ l K. ) wI I~f

r A r t rCK# ~ O , t A t

VJWL P I SJ s .b ~ l 1 0 . t

-I D # , , UA , ~ C o o / 6 V la ~l a o a CK# too ~ -

f

f ~ , X144f

s as ; 5 ~~

1 t 9 . M)0

o~~a . 9 f 0 1

I D#

CK#

n t 4 - c r YVA l t 9

1 d4_ ~Kn

1 %i t 1 1 AddL y I~~O

h ' 6 4 , 6 W t ~ U 4 av

b ~ fa

I D# ~ c . s ~ v ~ l~4 r e - C0CK# / Z ? . v v

I D # Q~ X f 5 ~ ~l

> 1

o ~ l a 9 ~o a CK#

' i r e

I D o Z )l sot rI D # SRYD` + ' 5' 5~y 47 , 1 - / 4Wk A ns

v~ l ~a9 ~ o b c K # as Cl a d






COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t e me l 7 t o f O r g a n i z a t i o n )

O'

P

Y ' I

STATE CANDI DATES NOTE : I F A C ON T RI B

I ON I S RECE I V E D FROM A S TA T E P AC ( P OL I T I C AL AC T I ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I ON

NUMBER AND T HE P AC CHECK NUMBER 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 FROM THE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD

CAUT I ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o w a Code , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s an 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 mme 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 mmi t t e e s .

SCHEDULE

A MONETARY

( R e v . 0 7 / 0 3 ) RECEI PTS


DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTR I BUTOR RELAT I ONSH I P AMOUNT q I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE" RECEI VED FUND-( MM/ DDI YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI S ER

NUMBER I NCOME

I D# &1 *40, ~OI v+~S , / nOf y k ~r o- $

b q 1 k q 1 0 4 CK #. 1 - 3 10 . ) - Y` a . X 6 4+ 0 ^ - JU

.

I D#h t > t i 1 . ~ 4 5 df L e n

OY/ a g l o a CK#

K

q a ~ r: D- vJ7

I D# k _ ~ C 4 h ~d T h . d - w ~ ~( o Y

° y A y l oCK# 9

GI D#

CK #

~ ( / 4_r~~

I - e l 3 ~ t ~ a u r t L v ~ f ~ Uo aI I , ~ Ye A G0 3_

I D#I P I J b e t c } VA ~ r 1

o 4 1 1 6 q / o A CK #1<99

M; )Y ,

aG u t . D

"

I D#1' k &r , , A9 Whombey7 r

oY 7 . 9 ~ 0 1 CK# 6 1D h f J d . D t ~







STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECE I V E D FROM A STATE PAC ( P O L I T I C A L ACTI ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .

CAU T I 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 ma t i o n c o p i e d f r o m r e p o r t s an 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 mme r c i a l p u r p o s e b y a ny 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 mmi t t e e s .

SCHEDULE



DATE PAC I D NUMBER NAME AND ADDRESS OF CONTR I BUTOR REL AT I ONSH I P AMOUNT 4 I F FORRECE I VED( MM/ DD / YR )



RECEI VED FUND-R AI S ER

NUMBER I NCOME

I D# / 7 ( G ~ O t t e ro ~ f o s w b CK # ' f ' f ~ r ~ -aht r i s ~ A

a r c - c lJ

l o b

I D# k o r ) e

6 f i w n - sy h

bo s 1 o CK#

$L

a - S s

~ r 9 SGb 1 4I D# Rt ~ + h ~ - Z _ d v e

oS~o3~o b CK# S11 Ak

N~3c uAd ( A / y f S~ -

a s w 3 l a t CK# &n ~ S 5 ~ d 5 " Od

0

g

I D# ~ , ~ y ~1 ~ ( c c ~ s i ; , a m o r t s~ ~D3 I b b

CK#`

.. G r r c

I D# l n e Y t ' t ~ k0 , 5 4

Ya b c K# a~







STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A S T AT E P AC ( P OL I T I C A L A C T I O N C OMMI T T E E ) , L I S T THE P AC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N T HE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V A I L A B L E FROM T HE I OWA E T H I C S AND CAMPAI GNDI SCLOSURE BOARD .

CAUT I 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 mme 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 mmi t t e e s .

SCHEDULE

A MONETARY

( R e v 0 7 / 0 3 ) RECE I PTS

Q CHECK T H I S B OX I FAMENDI NG FORM

DATERECE I VED PAC I D NUMBER( i f a p p l i c a b l e )

NAMEAND ADDRESS OF CONTR I BUTOR RELAT I ONSH I PTO CANDI DATE'

AMOUNTRECEI VED

J I F F ORFUND-

( MM/ DD/ YR ) AND PAC CHECKNUMBER

( i f a p p l i c a b l e ) RAI SERI NCOME

I D# Ar h Ca n ; / ur n r ~d S o _ , o b

CK# A~ G ~ VY 1 t i t , L ~ S l '

I % I N L UI D#

Ao ( ~ k , r t ~ l ~ l F v r - ~ / 1 i dh ~OS ' 9

~

/ D, b

CK# 11)42,,6

au u k eD# Am~ XYr e ~

p S ~ Db , ~ d CK# Dbd

t / i z

~ Ot h S f id 0 " d l 7

r l l S ( o 5I D #

CK#~: , a t 7 a ~ t a c r e G ? 4 / 9 - 7 3

66

I D # ( ~ , , b d J 1 y L k0 5, 6 b

ob CK#5 > e f

c s ~1 1 ~ 4 ~ c

s 0" ODr ( n ~ ` c s 1 4 ~ l ) t ) f a

o~d~wb

I D #Y 1 D ' ~

~ s o ) V A & A. 2 1 b

0 ` ? i / SCK#





COMMI TTEE NAME( Mu s t b e s ame a o n S t a t e me n t o f Or g a ni z a t i o n)

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I S T THE PACI DENT I F I CATI ONNUMBER AND THE PACCHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

CAUTI ON: Se c t i o n 68B . 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 ma t i o n c o p i e d f r o m r e p o r t s an d s t a t e me 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 mme r c i a l p u r p o s e by an 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 mmi t t e e s .

SCHEDULE

A MONETARY

( Re v . 0 7 / 0 3 ) RECEI PTS


DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT J I F FORRECEI VED

( MM/ DD/ YR)( i f a p p l i c a b l e )

AND PACCHECKTO CANDI DATE'


RAI SERNUMBER I NCOME

I D #

o Sl o bl a t CK#

. ,3 " W1 13 6 ( ~ G ) 5

!, - . J t >

I D # : 5 1 4 e - CVt 7 Y9 I t c -

0 5 1 0 6 Da CK# ) / i USc ' v ~ ) " Q - 4 0-a; : 5 ' 40

a l yD# G h ~ A ` i

b D~ Da CK#

I D # 6 ) k 1 1Y J ~ 4 l UZ ~ 1 / ~ ~ PL + ~ ~

05 1 6 boa CK# / 57m

Col a - SrI D #

pS~db t 7 a c K# f l T Y I > r ~I ?. 1 3

o , < 0 9 / 6 4 CK#

l

1 ' 7 3 -7 ` y -AI , ( ' 5Gt y -






COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t eme n t o f O r g a n i z a t i o n )

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S R E CE I V E D FROM A STATE PAC ( P O L I T I C A L ACTI ON C O MMI T T E E ) , L I S T T HE PA C I D EN T I F I C A T I ONNUMBER AND T HE P AC CHECK NUMBER 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 FROM T HE I OWA E T HI 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 an 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 an y c o mme r c i a l p u r p o s e b y an 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 mmi t t e e s .

SCHEDULE



DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTR I BUTOR RELA T I ONSH I P AMOUNT 4 I F FORRECE I VED( MM/ DD/ YR )


AND PAC CHECKTO CANDI DATE'


R AI S ERNUMBER I NCOME

I D#&441e+

/ Y W r Sa / nI +

$

G G w S s ~ l o ~~ . O t ~

I D# . s u - M& Y,

CK#

5 ~ l &~d k A3 0 . o vN

b e _ _ Q Q6 ` l vI D#

UC Ok ! f y 17 ` x ' ' 1

p sf o L f o 1 CK # 9 1 El

1 $5

S o wI D#

A r k n - 5 w" 4~vf o Z cK#

B0St 3. ~. e

I s3~

Id.

o sI D#

t a y 7 11 A~ r ~ Cr 5 0 v ~

a000 5 1 1 1 9 1 0 CK# 6V r l b S o.

c lI D#

1t , A3 / t !

GS t o o , b CK # ~~ n t ,






COMMI TTEE NAME ( Mu s t b e s a me a s o n St a t eme n t o f O r g a n i z a t i o n )

Re s a F o r m

STATE CAND I DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROM A S TAT E PAC ( P O L I T I C A L AC T I ON C O MMI T T E E ) , L I S T T HE PAC I D EN T I F I C AT I ONNUMBER AND THE PAC CHECK NUMBER 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 FROM T HE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD

CAU T I ON : S e c t i o n 6 8 B . 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 o p i e d f r o m r e p o r t s an 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 an y c omme r c i a l p u r p o s e b y a ny 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 .

SCHEDULE



AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DDNR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER

NUMBER I NCOME

I D#, ) e A

~ ( ~ f D - f 1 ' l ~ 5~O~ DI V b CK# a l l

z 5 o 1~O. O I 7

L n t4

I D#

OS 1 0 1 0 b CK#

I 4 6 e _

I . "

dA s ' d b7 7

I D#~" e

1

u 1_ ~1i

0Sf `

o lb~ CK # 2~0 i nn°

- \ 1 1 n

P 1 1 0 ' I t y x I '0 / 0 4 CK # ~ 3 ~ d ~ S

1 ' v t 1 [ A S°I d - 0 0

ZSL C . l J r p 1I D# K m 6 " Yt 1

r i s e s

41 01

0 - 7 1CK #

3 l 3~ e o ~ e)

"I L Ja l ' 7 T ~

I D#Jh 1 A- YV -1 0

vS ( a o b CK # -bo v 1 0 ~ . OZ - )






I COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t e me n t o f O r g a n i z a t i o n )

STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S

E CE I V E D FROM A S T AT E PAC ( P OL I T I C A L A C T I ON C OMMI T T E E ) , L I S T T HE PAC I D EN T I F I C AT I ON

NUMBER AND THE PAC CHECK NUMBER 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 FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARD .

CAU T I 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 an y c o mme 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 mmi t t e e s

SCHEDULE


CHECKT HI S B OX

I F

AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OFCONTR I BUTOR RELAT I ONSHI P AMOUNT J I F FORRECE I VED

( MM/ DD/ YR )( i f a p p l i c a b l e )

AND PAC CHECKTO CANDI DATE'


R AI S ERNUMBER I NCOME

I D# ~~~I I r t l a , . r l ~ l r n a n r l0- 5 1 1 , ) 1 0 4 0 CK # l ~3Z ~ t t v a s ~ ' ~~

I D#

b / Y r ! . o r u ~ (a~. W~ l 1 t - s

05t o l o b CK# oZ7

I D# a r r r c0 1 3 0 b

CK#

4LI J -6 h 1 A o . - V / S - 'I D#

_0~t C. , Pb e r 4 S~05

CK # a u aS . J Do v b

os f ~ 3 v a CK# 3.1 - 5~ ' - ~ 3 as. d d0

1. 1A e, -4 W , 0 1 - 4 A s~ rD# J a r n 05

k ll e , _9 ; r rY o b CK# s9



T h e f o l l o w i n g i t e m s f r o m S c h e d u l e B o f t h i s r e p o r t w e r e d e em e d t o b e u n a l l o w a b l ee x p e n s e s D e n i s e h a s r e i m b u r s e d t h e c a mp a i g n a c c o u n t f r o m h e r p e r s o n a l f u n d s f o r

t h e f o l l o w i n g i t e ms , w i t h a c h e c k d a t e d 0 9 / 2 1 / 0 6

On S c h e d u l e BP a g e 8 0 2 / 1 7 / 0 6 S h o t T o w e r I n n ( f o o d ) 1 7 . 9 2

P a g e 1 2 0 3 / 0 3 / 0 6 I n d i a S t a r ( f o o d ) 1 2 . 7 0

0 3 / 0 4 / 0 6 Ne w P i o n e e r Co o p ( f o o d ) 9 . 9 0

P a g e 1 3 0 3 / 0 6 / 0 6 Ne wt o n 6 6 ( s n a c k s ) 8 . 5 4

0 3 / 0 8 / 0 6 P a n e r a B r e a d ( f o o d ) 5 . 2 8

P a g e 1 4 0 3 / 1 7 / 0 6 Owe n C r i s t ( u n l o c k c a r d o o r ) 3 1 . 8 0

P a g e 1 5 0 3 / 1 5 / 0 6 A Do n g R e s t a u r a n t ( f o o d ) 1 2 . 6 00 3 / 1 5 / 0 6 S t a r b u c k s ( f o o d ) 4 . 7 7

0 3 / 1 7 / 0 6 V a l l e y We s t ( f o o d - p a r t o f $ 2 1 . 7 9 ) 1 . 7 8

P a g e 1 6 0 3 / 2 2 / 0 6 Su bwa y ( f o o d ) 6 . 7 1

0 3 / 2 2 / 0 6 C a r r o l F o o d / A mo c o ( f o o d - p a r t o f $ 4 2 . 0 0 ) 1 0 . 0 0

P a g e 1 7 0 3 / 2 7 / 0 6 P a n e r a B r e a d ( f o o d ) 3 . 6 6

0 3 / 2 7 / 0 6 Ne w P i o n e e r Co o p ( f o o d ) 6 . 9 4

P a g e 1 9 0 4 / 0 4 / 0 6 D e l i c e B a k e r y ( f o o d ) 1 0 . 3 60 4 / 0 7 / 0 6 I o w a B a k e r y C a f e ( f o o d ) 6 . 3 1

P a g e 2 1 0 4 / 0 8 / 0 6 P e r k i n s ( f o o d ) 1 6 . 0 4

0 4 / 0 9 / 0 6 B l u e S t r a w b e r r y 1 7 . 0 0

P a g e 2 2 0 4 / 1 9 . 0 6 B u r g i e s E x p r e s s C a f e ( f o o d ) 6 . 4 0

0 4 / 1 9 / 0 6 B u r g i e s E x p r e s s C a f e ( f o o d ) 3 . 5 5

P a g e 2 4 0 4 / 2 7 / 0 6 HMS H o s t F o x S p o r t s ( f o o d ) 1 0 . 8 1

P a g e 2 5 0 4 / 3 0 / 0 6 Ma c h i n e S h e d ( f o o d ) 2 1 . 6 0

P a g e 2 8 0 5 / 1 2 / 0 6 A r b y ' s ( f o o d ) 3 . 7 0



F OR I NSTRUCT I ONS, SE E BACK OF F ORM R e s e t F or m SCHEDULE

EXPENDI TURES B MONETARY- - MONEY SPENT F ROM COMMI T T EE ACCOUNT

( R e v 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TT EES : NOTE : F OR CONTRI BUTI ONS MADE T O STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I D E NT I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T HI S BOX I FPAC CHECK NUMBER F OR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA AMENDI NG F ORME T HI C S 3 CAMPAI GN DI SCLOSURE BOARD .

COM I T T E E NAME ( M u s t e s a a s o n St a t e me n t o f f e n l z a t i o

CANDI C* TE NAMEAND A

~ i ES$~ O WHOM PURPOSE AMOUNTDATE I D NUMBER EXP D I T L . ~ f E ( DESCR I BE TRANSACTI ON) EXPENDED

EXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) W9 S MADE

( MM/ DD/ YR) AND PAC

CHECKNUMBER -

I D # ! s

D 1 P CK #v G

I D#A

,. . ~. I L

I D# -

a 4 c K#/ , ~ ,

3 "i, > A~ ~

I D# FY I

o CK# T a i / L~ , 1 C ~ ( ~ ~ ' Ca 4 l I ' I L v 7

I D#



FOR I NSTRUCTI ONS, SE E BACK OF FORM R e s e t F o r mSCHEDULE

EXPENDI TURES - - MONEY SPENT FROMCOMMI TTE E ACCOUNT MONETARY

( Re v 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUT I ONS MADE TOSTATEWI DEOR LEGI SLAT I V ECANDI DATES, L I ST THE CANDI DATE I DENTI F I CATI ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECKTHI S BOXI FPACCHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI L ABL E FROM THE I OWA AMENDI NG FORMETHI CS 3 CAMPAI GN DI SCLOSURE BOARD.

CO I T TE NAME ( Mu s t same s o n St a t e me n t o f Or g a n i z a t i o n)

DATE

E

I D

CANDI DL

NUMBERNAME AND ADDR

~ ~

M

-PURPOSE AMOUNT

EXPENDI

l

( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) a( MM/ DDNR) AND PAC

CHECKNUMBER

I D#

O I L

~ CK# ~ n~L $ I

I D#

CK#

/ o

SCK# -r } - 1 ~ t c . ,~- U c ~

v" -o f UNat ~ ~5 .

I D# u . s ~ R - sCK#/ 0 J 4 1 a ~ i 4 1&

b CK# U~ r a v

u x r1

' ', V P , Pa 1 4I D # Cam 4 a Y l 3



r Ut l I I V J I f I J U I I U I V J , Z ~t t bALK Ur I - UHM SCHEDULE

EXPENDI TURES - - MONEY SPENT FROM COMMI TTE E ACCOUNT B MONETARY

( Re v . 0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FORCONTRI BUTI ONS MADE TO STATEWI DE OR LEG I SLAT I VECANDI DATES, L I S T THE CANDI DATE I DENTI FI CATI ON NUMBER I N THE DESI GNATED COLUMN AND THE A CHECK T H I 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.

COMMI TTEE NAME ( Mu s t b e s a e a s o n St a t emen t Or g a ni z a t i o n)

. d am LN ` Q'

CANDI DATE NAME AND ADDRESS T WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDED

EXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PAC

CHECK

NUMBER

I D#~,

~v z . 1 1 gY ~ ~ , ~

'a 5 1 1 2 a ~Di ~ ~

o f/ I

ObCK# C h (

l 0 q - a n- t ~ f o $I D#

Cq ~ - ~ - l Y s ~ ,/( a

0 / 7 & CK# t 59b n t "

1 0 5 0 A 4 - 1 4 - - lM A r a SaI D# - ~Wr I ' u 0 * b y 1 CI 1 lb l l a 7 l o b X96 c , h t ' c b o b - o - L - 7 4 ,

CK#

o~I A4 - l , J ) 4 - / ~S) ~ - Kyl . , ~

I D# 1 _ - -i ` G , ~ ` ~ I

Af ~ a7 l v ~ 9 e 7 ~ h 4 -a! W-

c K#

1 0 sa A~~a n ~ ' ) c . 1 S' 1 Tv 2 z f a Sc ~I D#

Po t s e

Ol " J f CK# ' S 9

c r + n , ~ t

CAC , O U' Sf ~ ' ~ . ~ ' U

1 u 3 , ~ - ~ - 1 C , 1 D53 6 ,I D#

l [ T- ; 4~r ~



FOR I NSTRUCTI ONS , SEE BACK OF FORM SCHEDULE

EXPENDI TURES B MONETARY- - MONEY SPENT FROM

COMMI TTEEACCOUNT

( R e v . 0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E G I S L A T I V ECANDI DATES, L I S T THE CAND I DATE I D EN T I F I C AT I ON NUMBER I N THE DES I GNATED COLUMN AND THE CHECK THI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA AMENDI NG FORMETHI CS & CAMPA I GN D I SCLOSURE BOARD .

COMMI TTEE NAME ( u s t b e s am e a s n St a t e me n t o f

~ ' AO r g a n i z a t i o n )

CAND I DATE NAME D ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPEND I TURE ( DESCR I BE TRANSACTI ON) EXPENDED

EXPENDED ( i f a p p l i c a b l e ) ( Di s b ur s e me n t ) WAS MADE( MM/ DD/ YR) A ND P ACCHECK

NUMBER

I D#A y Y ) : wm. 6 Yu - ( o f f PD 0. ~G"

0 1 1 3 1 1 0 6CK# `

#I b7~41QI

Y~ , ~s l b b/ 05 7 AIVl

I D#C440-59ba~

QYf l 5t J I ' t t L a c

. ~ , ~ t . U e a , ~ C ~ ~ ( S A- r O L y / j

CK#

A~",

F - ~ ' Ca q t

1 0 5 f

0- t o o d 1D

I D# ` ~- ( x q n o , ,~f t 1 ' 5 S i T 0 , d ~

0 7 10 3 1 6 6 CK#t c a ~ 1 Ca P OLL~Z Gt . l a. (

v . ~ , d) , t o * ! 0

I D# g - _ , ( k 4 r w ` q a Yr ) i r e I mbHwS 4, y PoshaSG

a~o Ob CK#5 9b2 ` f Ghi c a~l a ~ C a l 1 M~ , 1 ~~t ~

~-~ 0-

I D#

O ~D aL CK#

A~I ~~I C. . r f ~ ~wbzL ~b i M as~~

I D#



FOR I NSTRUCTI ONS, SEE BACK OF FORM SCHEDULE

EXPENDI TURESB MONETARY

- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E NT I F I C A T I ON NUMBER I N THE DESI GNATED COLUMN AND THE k V CHECK T H I 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 .COMMI TTEE NAME ( Mu s t b e s a m e a s o n St a t e me n t o f Or a n i z a t i o n )

0 "&A0 4 \ _ - b - , g e t t " ~ ' (

CANDI DATE NAME AND ADCRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACT I ON) EXPENDED

EXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PAC

CHECK

NUMBER

I D# C u t t e r r r + ' t

C ° `

( ~ ° 1 Pe a -y

~

w

p j ~ o h

-

0 2 / / V / 6 6 CK#1 - 7 1

/ o 4 Ae s / ~ o ) f ws l ~ s~3~L * ' l o a_

I D #

sh~~ ' ~ - ~ - e , ~ o( j o f

l

ab c K# ~WA

ny ,~F o l

Care

, v , , 2 C . o . ~ ( Sr ' o Z m) ) - 5 5Y

D# Y , - WA n ) s

o a ~ ? I l l b CK# S , q l o - 4 CJh1Ca l , b ~

a bb 4 1 o r r i , J , c_ ,M l v a

1 D # ' ) 3 J t c t n v - " YV l , y

- - x q

d b ' 7 - - - G r A I o 6 ` ~ Oi l d , G

I D #

~ Q. Y t 7 l

N a tr , ( 1 6 , ~ . Qt >mb ut ~ I p a Sl a ~ S, L CaJ . + f " t ~

~l j D l 'j 1d"p

t~CK#/ ob 0"I l #>oz~r

I D# 4



FOR I NSTRUCTI ONS, SEE BACK OF FORM SCHEDULE

EXPENDI TURES- -MONEY

SPENT FROM COMMI TT EEACCOUNT

BMONETARY

( R e v . 0 7 / 0 3 ) EXPENDI TURES

S TATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E N T I F I C AT I ON NUMBER I N THE DESI GNATED COLUMN AND THE I ~ CHECK T H I S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .

COMMI TTEE NAME ( Mu s t b e s am e a s o n S t a t e e n t o f O r g a n i z a t i o n )

e ) l f $ e ~CANDI DATE NAME AND ADDR SS TOWHOM PURPOSE AMOUNT

DATE

EXPENDED

I D NUMBER


EXPENDI TURE

( D i s b u r s e me n t ) WAS MADE

( DESCRI BE TRANSACTI ON) EXPENDED

( MM/ DDf YR) AND PACCHECK

NUMBER

D#

~

a 5 -ca>~Pa

o > ~ ' a b c K# ) ZA A l t$ a- 3

D#

6 1#1 / 0 6 CK# 1 r r S1d N 1 Ck r r ~

I D #

o 2 I ~o b c K# Ca s e0 3 s a c t , ~ ~JO. : 1 a d r y . Sa - ~ i - > Z Cu r 1 s - c

I D #A l c o

- -

3s u P R J 1 ~ 5

0 a / / , CK# l b a - d C ~ f ~ wXA l a r n 4 t < _ S~ f i r ? C a m e l

I D #

u5 e a~' y d ~~ fY

d ~ / l ' t l o z CK#/ 4 7 l l o v r t T l G

1 D #




EXPENDI TURES - - MONEY SPENT FROM COMMI T T EE ACCOUNT

STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L EGI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I ON NUMBER I N THE DESI GNATED COL UMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWAETHI CS & CAMPAI GN DI SCLOSURE BOARD .

SCHEDUL E

B MONETARY

( R e v 0 7 / 0 3 )

IEXPENDI TURES

CHECK T HI S BOX I FX AMENDI NG FORM

COMMI TT EE NAME ( Mu s t b e s ame a s o n t a t e me n t o f Or g a n i z a t i o n )

4 . v v o ~ A s 1

40 0 / ) 0 `

( ) D / / 7 1 0 &

d a OS / 6 1CK

b e 6 1 4

~ v r r v r 4 t e

An I YA- 0 - 2 d 1

t-$

' t

t 32v ~i L ~~

C( t u c ~ 9

sv3z5

1S

.1

PURPOSE

( DESCR I BE TRANSACTI ON)

as ~~e. ~ 1 , ~ ~ c y C

AMOUNT

EXPENDED

/ 7 7 a

a. 3 . ' 4 6

CANDI DATE NAME AND ADDRESS TO WFTOM

DATE I D NUMBER EXPENDI TUREEXPENDED ( 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 PAC

CHECK

NUMBER




EXPENDI TURES - -MONEY SPENT FROMCOMMI T TEE ACCOUNT

STATE PAC COMMI TT EES NOTE : FOR CONTRI BUT I ONS MADE TO STATEWI DE OR L E GI S LAT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C A T I O N NUMBER I N THE DESI GNATED COL UMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE A L I S T OF I D NUMBERS I S A V AI L A B L E FROM T HE I OWAETHI CS & CAMPAI GN DI SC LOSURE BOARD

SCHEDULE

B I M O N E T A R Y( R e v . 0 7 / 0 3 )

EXPENDI TURES


AMENDI NG FORM

COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t eme n t o f Or g a n i z a t i o n )

a l b y Ob

a~a~ e b

a ~ a - ~ n b

CK#

1 ~4 r ~

I D#

C K#

I D#

l ~ z ww01

(

5 d 3 Z ~ (

f

wt s + h 5 r

~ ' Sv LOi

_ ( ~ . e n t e G

C~ t r wp a L7 7 k

Ca W` ~ a l~-

. ~

AMOUNTEXPENDED

35~y d

CANDI DATE NAME AND ADDRESS TO WHOM PURPOSEDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACT I ON)

EXPENDED ( 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




EXPENDI TURES - - MONEY SPENT FROM COMMI T T EE ACCOUNT

STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUT I ONS MADE T O STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I ON NUMBER I N THE DES I GNATED COLUMN AND THEPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWAETHI CS & CAMPAI GN DI SCLOSURE BOARD .

SCHEDULE

B MONETARY

( R e v . 0 7 / 0 3 )

IEXPENDI TURES


AMENDI NG FORM

COMMI TTEE NAME Mus t b e s a me a s o n S t a ment o f Or a n i z a t i o n

3 I l o ~ ( o , o

I D #

u 5 P5~ ~ _ s ~ J ~ ~A~ ~ - ~ t ~ f y 4 S- ~ , ~

-r L V , q

t l

Qt t Mj I

4 ) 0 1 + y " - +: r r h

Wa - v ~ ~ l q - v 1 9 4

O( ~) t i J Y V A) e

r; ; , q OZ ) u n I o w s i

1. t ) s - s - J l ~ e s~ h 4Cl F

PURPOSE( DESCRI BE TRANSACTI ON)

AMOUNT

EXPENDED

Ca

f o l t ~r i Gt f ;

h 2 t Vn

h t y ' . %G . f o r

o

p a -~

c

. ' I a 1 . (

Ana i h

Ga~Sv~

t ' " a n ~ D a ~v e l r u e , / t v 5

CANDI DATE NAME AND ADDRESS TO WHOM

DATE I D NUMBER EXPENDI TUREEXPENDED ( 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/ DDf YR) AND PAC

CHECKNUMBER

I D #I 3 - na"0. l 0vy l 3

G f b ~ l b T 5 ' 9 6 a~ C* LCa~ ~~CK#l 6 I G A - 1 - ~ ~ . ' r - l A

I D # ~~ n~

a j o ~61 CK# SqLa4 t ~ h . L C a

l 0 3 ~ 3



r UM mm~ I KUL, t I Ui v 5 , . > t t t f A C ; K Ut - l -UHMSCHEDULE

EXPENDI TURES - - MONEY SPENTFROM COMMI T T EE ACCOUNT B

MONETARY

( R e v . 0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DEOR L E GI S L AT I V ECANDI DATES, L I S T T HE CANDI DATE I D E NT I F I C A T I O N 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 A V AI L A B L E FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s ame a s o n t a t e me n t o f r a n i z a t i o n )

~ C~ 1 ` QCANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT

DATEEXPENDED

I D NUMBER( i f

a p p l i c a b l e )

EXPENDI TURE


( DESCRI BE TRANSACTI ON) EXPENDED

( MM/ DD/ YR) AND PACCHECKNUMBER

I ° # u s P ~

I D #~Y12an~r e 5 3 ~, ~ r SPv a ~ d , L

gJ : K3 . SbCK# c a >

I D# - I NSCu ~ T

h l ~ . h25~De r 1

rc a r e f o ' ' ~

a d g j d b CK# ~1~ l ~ J n , / 5 o ` f 7J~s - ; r cam

c ~ 3 1 6 9 b b CK#l 7 f i ' 9 r N a , ' ( 0 3 "~~

l kg ' r ~W5 Ap l r - , 6 ~ ~ t p

I D# C' a ~d

h

N a , n f t 50 ~ ' a r h , Pa n

I

Vr aDb CK#

$%o ~ ~ C I C a GeS G I r 1 ~ " ' ~

o~ J

,

"z 7 ~

0 ~ q A t ~ v ~ n ` 1 ) L t A

I D # a ,



FOR I NSTRUCTI ONS, SEE BACK OF FORM

SCHEDULE

EXPENDI TURES - - MONEYSPENT FROM COMMI T TE E ACCOUNT

MONETARY.( Re v 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L A T I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I O N 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 FROMETHI CS

THE& CAMPAI GN DI SCLOSURE

I OWABOARD . AMENDI NG FORM

COMMI TTEE NAME ( M u s t b e s ame a s o n S t a t e me n t o f r g a n i z a t i o n )

8 y 1YET

CANDI DATE NAME A N 1 5 ADDRESS TOWHOM PURPOSE AMOUNTDATE

EXPENDEDI D NUMBER

( i fa p p l i c a b l e )

EXPENDI TURE


( DESCR I BE TRANSACTI ON) EXPENDED

( MM/ DD/ YR) AND PACCHECKNUMBER

I D# _ r Ad ( a o t , l ' a L , c v ~~ a~ c t ~ ~

c aa o O6 c K# 34do I MP/

3 I , ,

I D# o w l e t - Q n u c ~ c , ~ 3 o v r " Q0Y03" c K# a - 4 oa n t w r - , I

w~ a l ~ l ~

I D# , j uU~~a~ ' S t ^ y t , d l

! ~ CK# ~1 ' ~ ~ T~ - n - 3 ~ ' S ~ l0 0

yes ~ ~~ I~I S . ~

.

I D#& l o t / A y t Ao t o ~mt s - t

NJ

~o~o~bd CK# ~~~~ M~ . , , , ~ . 4 Z )

S r ,~I D#

0 1

L D~ 0 )

S C o t o L

I D#




EXPENDI TURES - - MONEY SPENT FROM COMMI TT EE ACCOUNT

STATE PAC COMMI TTE ES : NOTE : FOR CONTRI BUT I ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E NT I F I C A T I O N NUMBER I N THE DES I GNATED COLUMN AND THEP AC CHECK NUMBER FOR EACH EXPEND I TURE A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWAETHI CS & CAMPAI GN D I SCLOSURE BOARD .

SCHEDULE

B MONETARY

( R e v.0 7 / 0 3 )E X P ENDI T URES


COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t eme n t o f O a n i z a t i o n )

OM

a76~~

I D#

CK#

D#

CK#

CK#

OU4&n "

/ ( k e~ L r y l 1 , 4

u 5 p s/ K 4 l n P 6 7 5 q~wQe sh

~ / + 4

0 v t I l t ~ y t ) o

PURPOSE

( D E SCR I BE TRANSACTI ON)AMOUNTEXPENDED

r , 9

C a * p V t l . Y ' l + Y L t

/ u r t c ~ - &/ A t ~ , e

/ J

Caw p a 1 1 5 n -

4 VA

/ 1 6 ' / r GA W15

P . D 4 4 ~ S f e t r r f j .

4 ; f CA" T - 11 j y * 1 - WA

~a15~ ~t S<vCL I

$ g. S~

*a

CAND I DATE NAME AND ' ADDRESS T ODATE I D NUMBER E X P END I T URE

E X P E N DE D ( 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) AN D PACCHECK

NUMBER



FORI NSTRUCT I ONS, SEE BACK OF FORM R e s e t F o r m SCHEDULE

EXPEND I TURES B MONETARY- - MONEY SPENT FROM COMMI TT EE ACCOUNT


STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE T O STATEWI DE OR L EGI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T H I S BOX I FPAC CHECK NUMBER FOR EACH EXPEND I TURE A L I S T OF I D NUMBERS I S AVAI LAB LE FROM THE I OWA AMEND I NG FORMETH I CS & CAMPAI GN DI SCL OSURE BOARD .

COMMI TT EE NAME ( Mu s t b e s ame a s o n S t a t eme n t o f . O r g n i z a t i o n )

0&I V ' & ,

CAND I DATE NAME AND ADDRES S TO WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACT I ON) EXPENDED

EXPENDED ( 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 P ACCHECK

NUMBER

I D #/ ` ' " ^ r ) n o m . r u r Ca o l l \

o ~ ~ o a CK#~ ' r " - ~I J r s t i c s t o P , 3 ~ N ( ~ s

I D # / J~ f Al i b wAs - h V 4cOvntc

v3l l o L CK#

A ~ ~ ~ ~ ~

? ~

c a y - FW5 t e t . ' ~ ' ~ 3 Pa~A / a , k<

( _ A « p25I D # L A I l Z f y V ~a s - ~ a r ' Ca

Oy l ? l b l o CK#Or s

, , f 7 i Gam- ~ ' ai 5 A, ` Q / 9 . 0 7 )C - 1 6 1 ,

I D # V a a v ) 1 1 6 - At A6 f ~ eAesh . ~ 6 o ~0 4 1 L - 40 3 / r r l o b CK# - e r a 1 4 ) L ( ~P-pa01 Y 1

Y a 4 A ' ` -:~ 1 < y - 0

~ P5 - 5 F a tI D #

( , ~ , t 1 L O , y t C V i 1* t 4~o - Qz A )

~l

d ' ~y ~o Mf~ ~ K1~0 . ~

> s u

I D #



FOR I NSTRUCTI ONS, SEE BACK OF FORM I R e s e t r =

SCHEDULE

EXPENDI TURES B- - MONEY SPENT FROM COMMI TT EE ACCOUNTMONETARY

( R e v. 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E N T I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THE D 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 FORM- -.ETHI CS & CAMPAI GN DI SCLOSURE BOARD . ,

COMMI TTEE NAME ( Mu s t b e s am e a s o n t a t e m e n t o f Or g a n i z a t i o n )

I v1 l ` V r ~ r . , J t : , r v ' f ~ P J C d l , O' ( C ~

CANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACT I ON) EXPENDED

EXPENDED ( 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 PACCHECK

NUMBER

D#

CK#

o s : e o CamPar X ` ~ ~ d 6 , 1 ?

I D# -s -

I I O t 3 CK#

l l c , ' h ¢I D # A- pt ~esf auv~ ~~, r ~- h~ ~y ~ , ( s c

11 5wr ~ -o CK#l ~s

I D #V a s e ~ 5 a 5 OAt s z ~ /

1 , ( ) Q + l A Ckf f o l ~5

I D # m~ e l r b t k 4 e 5

o ~~ sl o b c K#a t o' ~ - I t

J~Ca. w~Ja ~Tom+ ,

1 D #



FOR I NSTRUCT I ONS, SEE BACK OF FORM R e s e t Fo n n

EXPENDI TURES - - MONEY SPENT FROM COMMI TT EE ACCOUNT

S T AT E PAC COMMI TT EES : NOTE : FOR CONTRI BUT I ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E NT I F I C A T I O N 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 OWAETH I CS & CAMPAI GN DI SCLOSURE BOARD .

SCHEDULE

B MONETARY

( R e v. 0 7 / 0 3 )

EXPENDI TURES


AMENDf NG FORM

COMMI TT EE NAME ( Mu s t b e

me a s o n St a t e me n t o f r g a n i z a t i o n )

o l ~ r t ~ ~ ~ e ~ k d ~ ° ~ ~~DATE

EXPENDED

( MM/ DD/ YR)

v ~ l a ~o ~

CANDI DATEI D NUMBER


AND PACCHECK

NUMBER

I D #

CK # l 9 1 ~ AAUI nS a e , C I ~ 1 ( - A

I D #

CK #

D #

CK #

CK #~ o 9 ~ b

NAME AND ADDRESS TO WHOMEXPENDI TURE


Ca . w o l r ~ J = A f i t , o c o

, Ay ~ 4 GO O)

~¢ r I Z , J ~ ( / I f 1 r ~ ~ 5

P°h b a - ~ '

p4 lGc

I h V e t l l

~" t - ~ Ck

~ , , p h 1 c ~

a - I - 7 ~A . l n n

PURPOSE

( DESCR I BE TRANSACTI ON)

1 1 4 A L l 1 - 1 . I O " I

g a s , ~ r , l ~ . e

~Yl ' 1

b ~ l n r i Y ' It 3 L l i h r , ( 41

a , . ,~~sr h n ~ A

AMOUNT

EXPENDED



FOR I NSTRUCTI ONS, SEE BACK OF FORM R e s e t F o n nSCHEDULE

EXPENDI TURES - - MONEY SPENT FROM COMMI TT EE ACCOUNT B MONETARY

( R e v 0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E N T I F I C AT I ON NUMBER I N THE DESI GNATED COL UMN 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 .

COMMI TTEE NAME Mu s t b e s am e a s o n St a t e me n o f O r g a n i z a t i o n )

d~ ' ~T A r d ' ACANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT

DATE 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 PAC

CHECK

NUMBER

I D # U: 5 105 ~ a L S4 ~mt S

- -

o~a: v L CK# ~ G f , L v i a t Q5 $ ' j Jt 7

I D #~ e l 1 t s e

v Oa CK# 3 ~ ` ~ e v u v e f - 5 )c a s

° 1 . c R7_

1CAVAPA~VL

s ) ' l O SI D #

( ' a 5 t ~ " 5 , t s ev V z 9 / , L c K# 7~ ~ { ' ~ ' Y

~~I ,l c a o ~ , t , 2

' ,

~ a 7 ~ o CK# Ca a~ -

I D # 5 1 4 e _ ( a l r_

/ _

~ , aI D #



FOR I NSTRUCTI ONS, SEE BACK OF FORM Re Wt F ° r r oSCHEDULE

EXPENDI TURES - - MONEY SPENT FROM COMMI T T EE ACCOUNT B MONETARY( R e v 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I O N NUMBER I N THE DESI GNATED COLUMN AND THE I ~ 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 A ME N D I N G F O R METHI CS & CAMPAI GN DI SCLOSURE BOARD .

COMMI TT EE NAME ( Mu s t b e s a m e a s n St 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 T Z f WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACTI ON) EXPENDED



NUMBER

I D #Na 1 , j 6 y 5 ba r h M5~ -~

oof/ j CK # n a

I D #

O~ f Oj ~ CK # f 2 , 0 b 1 4 9 , 3 4) V 6

c l v/ " ~j CK # / 1 ' t A l n D~z G w1~~ ~~~~~Ca l ~ ~ ` 1

ma t'

l r ~ ~

' ° # u s Ps-'

a lfp

o S T ~ Q- ~O Z 1 l o / ~ CK # r l i a I 5 3

/ ~ t t f A n ' T I LD #

r . o o, , ~OL~ ~a5 " t r ~ , l s . L

o z / f 0 ? l o b C K #l

f D . t 3 Z 7

I D #



FOR I NSTRUCTI ONS, SEE BACK OF FORM R e s e t F o r mSCHEDULE

EXPENDI TURES - - MONEY SPENT FROM COMMI T TEE ACCOUNT B MONETARY( R e v . 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I O N NUMBER I N THE DESI GNATED COLUMN AND THE D 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 .COMMI TTEE NAME ( Mu s t b e s am e a s o n S t a t men t o f O r g a n i z a t i o n )1

r l ~ ~~~Ya. a~~

CANDI DATE NAME AND ADDRESS TO WHO PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACTI ON) EXPENDED



NUMBER

I D# ~ y 4 e r ' "R t i , r r f - ~ ~ , ~CK#

/ / 1 0 4 ! m s sA"jj ( A a r j c a S a5 . 3 ' fI D# 1 1 C 1

^ - 0 - r - 4 tCK# Fr o t a Aa h l ~ - r ~ c J I / 3 V o r o f

40 : 7 l n i ~~ 'e 1 1 . E d k b l (I D#- ~ ( c . C a r , ~ ~ t t i k c a m~~

o y a~o b CK# a ~ , J ~u de

bD~S a , 3 . v z ~

d i / db

I D#V / ( a t o - YVI J C c z , r n , i i l l

CK#s

pl c

/~. t T av

I D#

O~ I~1yv l CK# p c > br m~ f ~ r a l s " 7

01 0 1s 1 1 A~ 7 / 7

1 D# ~" ~



FOR I NSTRUCTI ONS, SEE BACK OF FORM R e s e t F or mSCHEDULE

EXPENDI TURES - - MONEY SPENT FROMCOMMI TT EE ACCOUNT B MONETARY( R e v . 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TT EES : NOTE : F OR CONTRI BUTI ONS MADE TO STATEWI DE OR LEGI SLAT I VECANDI DATES, L I S T THE CANDI DATE I D E NT I F I C AT I ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECK THI 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.

COMMI TTEE NAME ( Mu s t b e s a m 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 )

CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACTI ON) EXPENDED



NUMBER

I D# ~l l O i / ~ a l . s b e v i L " i Z

1 , 1 f CK# F 5 ~ 1 ( / l ~ t -

I D #~dLS

O Y / r - 7 f d b c K#

C'

mot

~~

Y

~~~

. ~ v t ~ . t 37. ?S

I D # -

<4 ) 1 / 6 9 CK#

o p t

s a . 3aA -

V# , # b

I D#y ¢ .

2 S l Se

aCK# ~wt , p d .1 0 + A , 4 y o . 30-OS

I D#

e V1 >g l o b CK# 1 1 d A' r1

A

a Y ~ ' 1~ CA c a p

b; Ys

I D #



FOR I NSTRUCT I ONS , SEE BACK OF FORM R e s e t f o r a t t ' SCHEDULE

EXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI T T EE ACCOUNT


STATE PACCOMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I ON NUMBER I N THE DESI GNATED COLUMN AND THE D 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.

COMMI TTEE NAME ( M s t b e same a s o n a t eme n t o f r g a n i z a t i o n )

0I ~ P /

Y~

. ~CANDI DATE NAME AND ADDRESS TOWHOM PURPOSE AMOUNT

DATE 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 PAC

CHECKNUMBER

I D# 5wt ' ( s u eCK# / / 1 7 8 ' s " ,

ca vpaLS~a14 $ 37.

I D#I f 5 , ~ e , x p r n

CK# 1 1 6 . 0

I D#Y l Z. ~ ' 1 I ~ 1 ' I ~ ~e SS c ~ 1 1 p J t . ~s ~'

a ~~d cK# ~

ka s s d

~~I s e v a tl l l j r ° , ~ c tI D#

Pt

10 *0 CK#

t ' h

~ ri E . P *

I D#

6 c f l * , 6 L CK# 5 ~ l 0 L aw

Ca

l .<

I D#



FOR I NSTRUCT I ONS, SEE BACK OF FORM f ~ e s e t Fo r mSCHEDULE

EXPENDI TURES B- - MONEY SPENT FROM COMMI T TEE ACCOUNT MONETARY( R e v . 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T T HE CANDI DATE I D E N T I F I C AT I ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T H I 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 8 CAMPAI GN DI SCLOSURE BOARD .

COMMI TTEE NAME ( Mu s t b e me a s n S t a t e me n t o f Or g a n i z e i o n )

CANDI DATE NAME AND ADDRESS T O WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCR I BE TRANSACTI ON) EXPENDED


( MMI DD/ YR) AND PACCHECK

NUMBER

I D #CAMP

ol t ~ 414,OL

I D # I n a ) , p a ( d d v I A 1 - 3

j e ,

I D #Loon~1 5601Anhy

Jv ~ 1 l e t s - e l l

~~'

o ' l Ob CK# l ~ r NY 1 ' ~ 1u ~ ' 4 _ h t s_

~n

7OTe

D#

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9- G

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FOR I NSTRUCT I ONS , SEE BACK OF FORM Re se t Fo r n 1

SCHEDULE

EXPENDI TURES - - MONEY SPENT FROM COMMI T T EE ACCOUNT B MONETARY

( R e v.

0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T T HE CANDI DATE I D EN T I F I C AT I O N NUMBER I N THE DESI GNATED COLUMN AND THE D 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 THEETHI CS

I OWA& CAMPAI GN DI SCLOSURE BOARD . AMENDI NG FORM

COMMI TTEE NAME ( Mu s t b e s am e a s o n S a t e me n t o f 0 a n ' z a t i o n )

O' . C ~ me I _ - ~ ~ rCANDI DATE NAME AND A15DRESS TOWHOM PURPOSE AMOUNT

DATEEXPENDED

I D NUMBER

( i f a p p l i c a b l e )EXPENDI TURE

( Di s b u r s e me n t ) WAS MADE( DESCR I BE TRANSACTI ON) EXPENDED


NUMBER

I D # p l t % e ^ x s f 3e6 1 , , I k CK# A n c a c r zJ

$ , .a

~ a / o b

I D # t3u y s a t 5 - s O & n ) eo

CK# A Z t

~ e u14A t

caI ~ n - 3 7.5 71 D #

64556k ms s ~u S t

Ct c #

d I l - CA K19 t

I D # t % / y 1~G, t zYMI

8 4 ! 5o V b b CK I f S c

a8

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I N

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r ) ( h o v ~ . - 1 4I D #



FOR I NSTRUCT I ONS, SEE BACK OF FORM R e s e t F o r mSCHEDULE

EXPENDI TURES - - MONEY SPENT FROM COMMI TT EE ACCOUNT B MONETARY


STATE PAC COMMI TTEES : NOTE : F OR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D E N T I F I C A T I O N NUMBER I N THE DESI GNATED COLUMN AND THE D CHECK T HI S BOX I FPAC CHECK NUMBER F OR 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

COMMI TT EE NAME ( Mu s t b e s a me a o n S t a t e me n t o f O r g a n i z a t i o n )

d? . 5 t IwL~G~ W ACANDI DATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT

DATE 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/ DDr YR) AND PACCHECK

NUMBER

I D # j 3 ~ m_ Nam3 1 e1 4 r S2 - , 1 , / , s~

60# CK#5 4 6 ~ ~ t c ~~; , - -

i

1 D # ' [ 5 y l a n ~ , t ~ , r Y 1 . 3 > r e ( m. J v t Y - i e . ~7vS

bbCK# ~ ' ° I b ( Ch . L v 1 C i , mi Go r n J Y I c ~ t l l o

M3 C . D 1

o~l undeo , ~~& 5 ' 0 ' 1 6 4 CK# 59 yf H o t y

I C t

c " t "~'

1 8 , 1 8Ok- V o l z t . ~

I D #1 J ~ ` q h o g , D t O FC Y ~ 5 c a 4- I t

0D CK# ~ l , ~-

t J f ' t I C A<Kovr y a { ~~

~ ~a q At ( t ,

AMOI ~q

I D #e,: 5

d5 / ~CK# ~ ~ 1/ / 3 0

LI D # Ph , ~ - 5 ~



FOR I NSTRUCTI ONS, SEE BACK OF FORM I Re s e t F o r mI

SCHEDULE

EXPENDI TURES - - MONEY SPENT FROM COMMI TTEE ACCOUNT B MONETARY

( R e v . 0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I 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

~-A ME N DI N G F O R M

ETHI CS & CAMPAI GN DI SCLOSURE BOARD .

COMMI TTEE NAME ( Mu s t b e s am 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 )

d ) , ~ Y h e r l . : 5 e c v e 4 a v ~ ~ 0"ACANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNT

DATE 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/ DDI YR) AND PACCHECKNUMBER

D#

b ~ 0 d b C K # p- 1 , 0 S 9 T

Sd 9 1

I D #0 ( ' f e v , ~ ~

P

CA + l e e -~"

) W37 f

b ~ CK #

h&4~ . m~I1 D #

6 5 / , D 7 / O Z C K #1 t h 4

d5o ~ 6 ~ f ~ ~ ~ ~ ~ b u s o . 0o f c K # p a t C a a ( g n ! FAf

D#

1Yw6p

J l ~

l ,



FOR I NSTRUCT I ONS, SEE BACK OF FORM R e s e t Fo r mSCHEDULE

EXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI T T EE ACCOUNT

( Re v . 0 7 / 0 3 ) EXPENDI TURESSTATE PAC COMMI TTEES : NOTE : FOR CONTRI BUT I ONS MADE TO STATEWI DE OR L E GI S L A T I V ECANDI DATES, L I S T THE CANDI DATE I D EN T I F I C AT I O N NUMBER I N THE DESI GNATED COLUMN AND THE A 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 A M EN D I N G FORMETHI CS 8 CAMPAI GN DI SCLOSURE BOARD

COMMI TTEE NAME ( u s t b e s ame a s o n t a t e me n t o f g a n i z a t i o n )

0 8 VW1 - k - - _ 1 4 4 - k 1CANDI DATE NAME AND f DDRESS TOWOW PURPOSE AMOUNT

DATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( Di s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PAC

CHECKNUMBER

I D #MAN"MWEr YU) ~ b i l , ~ l

b5 D ( 0 0 ,- L o . c r oC K # C~o

G b -1 1 D #

~ . ~s65

~ 1

CK # ~. ~

Oh

r.,

_

L

~ I I 2 7 ZI D #

V' . 5 p f 1 ~ f i ~ ~SO~ ~ l l j ~ d c K#

~Lv

' fLow~Gf C- ~l r u

C K # " me . V l ~ r i / l 7uI D #

, 1 i ,AX ,- t

~ e ,CK #~t ? 5At ww

( l ~ ' v l



FOR I NSTRUCT I ONS , SEE BACK OF FORM

COMMI TT EE NAME ( 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 )


NOTE : D e 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 m a i n u n p a i d mu s t b e i n c l 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 ny 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 .

SCHEDULE

D I NCURRED( R e v . 0 8 / 9 8 ) I NDEBTEDNESS

m CHECK THI S BOX

I F AMENDI NGFORM

An " i n c u r r e d d e b t " i s a d e b t f o rDEBTS / OBL I GAT I ONS REMAI N I NG THI S REPORTI NG PERI OD

g o o d s o r s e r v i c e s o r d e r e d o r

( DO NOT I NCLUDE LOANS - - SHOWLOANS ON SCHEDULE F )

r 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 w h 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

DATE

I NCURRED

( MM/ DDNR)

NAME AND ADDRESS OF PERSON

TOWHOM DEBT OR OBLI GATI ON I S OWED

DESCRI PT I ON OF GOODS ORSERVI CES PROVI DED OR

PURCHASED

BALANCE OWED ATCLOSE OF

REPORTI NGPERI OD'

0 4 / 3 0 / 0 6Hud s o n Ba y Compa n y

2 0 0 6 I s t Av e . N o r t h , S u i t e 2 0 6

A n o k a , MN5 5 3 0 3

f e e s a n d a d m i n i s t r a t i v e e x p e n s e s

f o r c o n t r a c t t o s o l i c i t e p l e d g e s b y

p h o n e a n d c o l l e c t c o n t r i b u t i o n s

5 , 2 1 5 . 5 2



FOR I NSTRUCT I ONS , SEE BACK OF FORM

COMMI TT EE NAME ( M u s t b e s ame a s o n S t a t e me

o f O r g a n i z a t i o n )

A

SCHEDULE

E I N - K I N D( R e v . 0 6 / 9 7 ~ CONTRI BUT I ONS

OCHECK T HI S BOX I F

AMENDI NG FORM

DATE

RECE I VED( MM/ DD/ YR)

NAME AND ADDRESS

OF CONTR I BUTOR

RELAT I ONSHI PT O CANDI DATE

" i f a p p l i c a b l e ) -

DESCR I PT I ONOF I N KI ND

CONTRI BUT I ON

ESTI MATEDFAI R MARKET

VALUE

q I F FORFUND- RAI SER

CONTRI BUT I ON

~t 313 QI ~, ~ ~m' t " $F / I

" . ' J 4d d t ~l4

o . e * 1 t 7 b

aenl e r U , .~ e a i ~ k S X 4mow F 7 1a " 1 ^

V ~ a l

o y AY / o b~ ~ -

~

~

I no~xi¬

a J r r v t l ~ 1 ) 7 ). v t 7

F330

a4

o y f ~ ~ f ~ ~a ~ GndKS1 1

o ~ h j D~LA' r l f x ~ l

s9 " ~ a c N r 1 I C '

I C A r/

0

FOR I NSTRUCT I ONS , SE E BACK OF FORM SCHEDULE



COMMI TT EE NAME( Mus t b e s ame a s o n S t a t e m e n t o f O

PART 1 1 - I TEMI ZED BREAKDOWN OF UNREI MBURSED EXPENSES PAI D BY CONSULTANTTO OTHERS I N PERFORMI NG SERVI CES OF CONTRACT ( T h e s e e x p e n s e s s h o ul d NOT b e

PART I - NAME AN D ADDRESS OF CONSULT ANT r e p o r t e d o n S ch e du l e B , a s t h e y a r e d i r e c t p a y me n t f r o m t h e c o n s u l t a n t . )

Name o f C o n s u

T i tcc AAVj ~ 1 3 1 M 4 s - 6 2

l - < 6q& , 0

M a i l i n g A d d r e s s

S61 5 7

3- h 6 , , - , 7 ~ - , 4 5 '

C i t y s t a t e Z i p Co de

TOTAL ANT I C I P ATEDCOMPENSATI ON FOR

CONTRACT PERI OD ( MMMDI YR) PERFORMANCE

F r o m, Z ,

-

To S

EST I MATES OF PERFORMANCE

r i ~ ~ a ~ I

Cp l v ~ d Q) A A- - e ~ c Y , ~

T ~YL~Ya . I 5 1 1 . E-

Aden 1 r ~

Ca l MAO A _ L ; r l - 6 0 6 1 , - 1 5

Re s e t f - d r m

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 )

SUB- TOTAL

Page o f

--( f r S c he d u l e G) ,

G BREAKDOWN

OF MONETARY

( R e v . 0 2 1 9 6 ) EXPENDI TURESBY CONSULTANT

LCHECK T HI S BOX I F

AMENDI NG FORM

DATEEXPENDED( MM/ DD f Y R

NAME AND A DD RE SS T OWHOM EXPEND I TURED i s b u r s e me n WAS MADE PURPOSE

AMOUNT

EXPENDED

S

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