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R I NSTRUCTI ONS, SEE BACKOF FORM

MMI TTEE NAME ( M u s t b e same 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 )t i L

' ORTANT : i n d i c a t e b y # t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r) S t a t e w i d e A . e g i s l a b 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 PA C ( 3 1 S U g t e ~ P a r t y) 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 ( B ) C i t y C an d i d a t e ( 7 ) S c h o o l B o a r d o r O t h e rl 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 PA C ( 9 ) C i t y PA C ( 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 l~ b d i v i s i o n PA C ( 1 1 ) L o c a l B a l l o t I s s u ekNDI DATE COMMI TTEES ONLY :a n d i d a t e Name Iu. S t - - ~ : ) C-~~

t f f r c e S o u g h t D i s t r i c t ( i f Se n a t e o r H o u s e )

DI SCLOSURE SUMMARY eAGE

ERSON F I L I N G REPORT

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 )

6 ~ " l - ~z 3 " S3R~TELEPHONE

AMF I L I N GA D c ~ - , S " 7. " - ~ 1 " D t - Q X - , ! j e n e REPORT FOR ( 1 ) ELECTI ON I ( 2 ) NON- E LECT I ON YEAR( r e p o r t d a t e ) I n d i c a t e b y #i

HECK I F AMENDMENT TOREPORT DATEDChe c k i f t h i s i s f i n a l ( t e r mi n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n F o r m DR- 3 .( Y o u mu s 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 . )

STATEMENT OF CASH ON HANDON 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 ec o mmi t t e e . T h i s amoun 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 . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADDTOTAL MONEY TAKEN I N THI S PERI ODS c h e d u l e A : Cash C o n t r i b u t i o n s t o t a l ( A t t a c h S c h e d u l e A ) ( ' a l s o s e e i n - k i n d b e l o w ) . . . . . . . . . .S c h e d u l e F : L o a n s R e c e i v e d t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S c h e d u l e H : T o t a l S a l e s o f Campa i g n P r o p e r t y ( A t t a c h S c h e d u l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h ed u l e H s o c r l l " t o C a n d i d a t e s ' Commi t t e e s O n l y )SUB- TOTAL . . . . . $

SUBTRACT TOTAL MONEY SPENT THI S PERI ODS c h e d u l e B: E x p e n d i t u r e s t o t a l ( A t t a c h S c h e d u l e B ) ( " a l s o s e e d e b t s a n d l o a n s b e l o w ) . . . .S c h e d u l e F : L o a n Rep a y mep t s t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

" UNPAI D BI L L S ( F r o m S c h e d u l e 0 - A t t a c h S c h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $MN K I ND CONTRI BUTI ONS ( F r o m S c h e d u l e E - A t t a c h S c h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $" * OUTSTANDI NG LOANS ( F r o mSc h e d u l e F - A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATE COMMI TTEES ONLY :CONSULT ANT BREAKDOWN ( S c h e d u l e GA t t a c h e d ? )VALUE OF CAMPAI GN PROPERTY ( F r o mS c h e d u l e H - A t t a c h S c h e d u l e H) $

FORMDR( R e v . 0 7 2 0 0 4 ) DI SCLOSUREREPORTF o r O f l ( i e Us e O n l yComm. #L o g g e d I n

dC o mp u t e rA u d i t e d ~-

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

DATE I GI N& 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 nC o u n t y & L o c a l C o mmi t t e e s , e n t e r C o u n t y I nw h i c h E l e c t i o n I s h e l d

1 74 - 7 0 4 ? - 236 Z ) 0 , 8 13 - - - " _

01 7 . SS6C" O

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n u ; : + l =

SI GNATURE OF TREASURER ( o r p e r s o n f i l i n g t h i s r e p o r t )Ct l - I f -23 TEL EPHONE

3 Z . 8 ' '

Z

FORMDR- 2 DI SCL OSURE( Re v . 0119 8 ) REPORT

Us e On l

FORI NSTRUCTI ONS, SEEBACK OF FORM

COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )z s z r \ S 4L I C 8 l l - Sc } " ~ c

I MPORTANT : I n d i c a t e t y p e o f c o mmi t t e e y o u a r e r e p o r t i n g f o r :( 1 ) S t a t e w i d e / L e g i s l a t i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o( 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s e Co mmi t t e e ( 7 ) C o u n t y / C i t y C e n t r a l Comm!( 8 ) S u p p o r t S l a t e o f C a n d i d a t e s

SEE I NSTRUCTI ONSONBACKAND COMPLETE THE FOL LOWI NG SENTENCE :I AM F I L I NG A

DI SCLOSURE SUMMARY PAGE

a s

Ro u t i n e Pe na l t i e s Due F o r L at e F i l e d Re p o r t s R a n g e f r o m $ 2 0 t o $ 8 0 0

c , 4" , . , ' ` S a r S . f l d . ; REPORT FORAN/ A ( 1 ) ELECTI ON / ( 2 ) NON- E L ECT I ON YEAR( r e p o r t d a t e ) I n d i c a t e o n e

CHECK I F AMENDMENT TO REPORT DATED

0C h e c k i f t h i s i s f i n a l ( t e r mi n a t i o n ) r e p o r t a n d a t t a c h No t i c e o f D i s s o l u t i o n F o r m DR- 3 .( Yo u mus t c o nt i n u e t o f i l e r e p o r t s u n t i l a No t i c e o f D i s s o l u t i o n i s f i l e d . )

STATEMENT OF CASH ON HANDCASH ON HAND a t t h e b eg i n ni n g o f t h e r e p o r t i n g p e r i o d . ( T h i s i s t h e t o t a lo f a l l mo n i e s h e l d b y t h e c o mmi t t e e . Th i s am o u n t MUST b e t h esame a s t h e c a s h o n h a n d a t t h e e n d o f t h e l a s t r e p o r t i n g p e r i o d ,o r mus t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

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

2 - ODATE SI GNED'

L o c a l C o mmi t t e e s , e n t e r Da t e o f E l e c t i o nCo u n t y & L o c a l Co mmi t t e e s , e n t e r Co u n t y i nwh i c h E l e c t i o n i s h e l d

/ ~ , 63 ( . 2 7ADDTOTAL MONEY TAKEN I N T HI S PERI ODSc h e d u l e A: Cash C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e d u l e A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ESc h e d u l e F : L o a n s Re c e i v e d t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e H : T o t a l Sa l e s o f Ca mp a i g n Pr o p e r t y ( A t t a c h Sc h e d u l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ i . - ; . . . _ .

( Sc h e d u l e H a pp l i e s t o Ca n d i d a t e s ' Co mmi t t e e s On l y )SUB- TOTAL . . . . . . $ 3123 Zo 1 -

2 - - S U B T R A C T TOTAL MONEY SPENT T HI S PERI ODSc h e d u l e B : Ex p en d i t u r e s t o t a l ( A t t a c h Sc h ed u l e B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ZZ~ Z ZFSc h e d u l e F : L o a n Re p a y me n t s t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( 6 , x ' 3 2 . 97UNPAI D BI L L S ( F r o m Sc h e d u l e D - At t a c h Sc h e d u l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $I N KI NDCONTRI BUTI ONS ( F r o m Sc h e d u l e E - At t a ch Sc h e d u l e E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ? SG y D yOUTSTANDI NG LOANS ( F r o m Sc h e d u l e F - At t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATE COMMI TTEES ONLY :CONSUL TANT BREAKDOWN ( Sc h e d u l e GAt t a c h ed ? ) YES NOVALUE OF CAMPAI GN PROPERTY ( F r o m Sc h e d u l e H - At t a c h Sc h e d u l e H) $

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Fo r I n s t r u c t i o ns , Se e Back o f Fo r mCONTRI 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 TTEENAME ( Mu s t b e s ame a s o n St a t e me n t o f O r g a n i z a t i o n )

STATE CANDI DATES NOTE : I F A CONTRI BUT 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 T HE P AC I D EN T I F I C A T I O NNUMBER AND T HE P AC CHECK NUMBER I N THE DES I 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 de , 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 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 .

SUB- TOTAL $ 600dr 9 c o t 3TOTAL ( i f l a s t p a g e o f t h i s s c h e d u l e )

D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o mm i t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h ec o mm i t t e e . R e l a t i o n s h i p m u s t b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b yma r r i a g e ) ( S e e P a g e 2 o f f o r m s p a c k e t . ) . I f s u r n a me o f c o n t r i b u t o r i s t h e s am e a s c a n d i d a t e , b u t t h e r e i s n o P a g e i o ff a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn . ( f o r S c he d u l e A)

SCHEDULEA MONETARY( R e v . 0 6 / 9 7 ) RECEI P TSQ CHECK T HI S BOX I F

AMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RE LAT I ONSH I P AMOUNT 4 I FRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECE I VED FUN( MM/ DD/ YR) AND PACCHECK ( i f a p p l i c a b l e ) R AI SNUMBER I NCOI D# 32s )

l o f f - CK# 1 _7 ~ -3 ZI D# G t , FZ f v i CQMI Z n ! - t o mt e r : ~ F i . t c , Go l ' - I -

' " L ' s _ 5 t , a3- E~ 6I D# 6 c V - 7 I.Tu-V. . s y , . s T~ P i t~ CK# 1 3 Q2 . Z 4 7 / o , C, S+ . , SOS ,Z - SSI D# 3" Z T AI - 0 0- - RAC

t CK# 1 / 06 ~ 7 , Sa m .Rt ~ ~c - ~ l x ~c t Zz3~I D# G3 PAG1 DJ z t / D 1~ CK# S t - - 2 - S ' ~ .

I D# 6 3 P I ~ CCK# f 3 -Z3 Y z z - i S S ' . ZL - ' AZ l QedI D# PA C -

G , ; ~ . s S2 o zI D#

j J r 5 1 ~ , ~ - CK# c . _ c t t ' ` . ~ r 1 ~ -~f o I. SaI D# -CK#I D#CK# ,

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FOR I NSTRUCTI ONS, SEEBACKOF FORMEXPENDI TURES - MONEY SPENT FROM COMMI TTEE ACCOUNT

STATEPACCOMMI TTEES : NOTE: FORCONTRI BUTI ONSMADE TO STATEWI DE OR LEGI SLATI VECANDI DATES, L I ST THE CANDI DATE I DENT I F I CAT I ON NUMBER I N THE DESI GNATED COLUMN AND THEPAC CHECKNUMBER FOREACH EXPENDI TURE. A L I ST OF I D NUMBERS I S AVAI LABLEFROMTHE I OWAETHI CS & CAMPAI GN DI SCLOSURE BOARD.COMMI TTEENAME( Must be same as on St a t emen t o f Or g an i z a t i o n)

DATEEXPENDED( MMI DD/ YR)

c ~ - , .~ ~ a ~ t t s CANCA C

CK# I M,

( 8 I 22~o - ~ CK#

k c l v ~~ - - - ~ vS, Sz

73.

CANDI DATEI D NUMBER

( I f a pp l i c a bl e )ANDPACCHECKNUMBER

NAMEANDADDRESS TOWHOMEXPENDI TURE

( Di s b u r s e me nt ) WASMADEPURPOSE.

( DESCRI BETRANSACTI ON)

SCHEDUL E( Re v . 0 9 / 9 7 )

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

THI S BOXAPPLI ES TOCANDI DATES' COL UAI TTEES ONLY:Pu r c ha ses of c e r t a i n c a mp a i g n p r o p e r t y c os t i n g $ 5 0 0 o r mor e m u s t a l s o b e i n v en t o r i e d o n Sc h e du l e H. ( Re f e r t o Sc h e d u l e Hirk. )

MONEEXPEN

CHECKTHI S BAMENDI NG F

AMO- EXPE

Ex p e nd b l r e s t o p e r s o ns i e nb t i e s p r ov i d i n g c on s u l t i ng . a dv e r t i s i n g , f u n d- r a i s i n g , p o l l i n g , ma n a g i n g , or ganmng s e r v i c e s nwst a l s o b e d e t a i l f l e r r o z eSc t n ad u l eGb y t he amount . Repose, and d e f t of e a c h t y p e o f cpe r dbr e mawa y t he p er oNen f t y on behsd o f t h e c a n di d e Ge ' s c o r n a ~i i l s e . ( ReScnedu i e Gi n su di o ns and I o wa Code 56ZqW)

( f o r Sc h e d u l e

c ~ ~ c g ( a ~ - C K # ( I ~~I D#CK# I I zI D #

ZZo N. L N ~ s ~ ~ r ~

5 - C. r o I

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k J 7 , l f D Y - C r c # I ( z Z 22 - I j , U - ' c ~ , 4 . ; , , c ~ s c , ( ~ . 1 = 1 s l b z , ?I D# C( 2 s: . ~ c C1 - ~ ~ , v . . c 1l tqLCCK# 1 1 1 3 OL - d ` 7 0I D# T 4 . ~ ~~ ( ~ s / k r aS

a l Z z ~ ~ ~ - CK# - 0 2 ( Q - " - S j - - S Z-I D #

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FOR I NSTRUCT I ONS , SEEBACK OF FORMCOMMI T T EE NAME ( M u s t b e same a s o n S t a t e me n t o f Or g a n i z a t i o n )

J&' r k SGk ; C_~ l

TOTAL ( i f l a s tp a g e o f t h i s

s c h ed u l e )

SCHEDULEE I N KI ND( Re v . 0 6 / 9 7 ) 1 CON TRI BU T I ON

[ ] CHECK THI S BOX I FAMENDI NG FORM

' D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e ma k i n g a n i n k i n d c o n t r i b u t i o n t o t h e Pag e~!o f - Lc o mmi t t e e . R e l a t i o n s h i p must b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s ( f o r S c he d u l e E )b y m a r r i a g e ) . ( S e e Page 2 o f f o r m s p a c k e t . ) I f s u r n ame o f c o n t r i b u t o r i s t h e same a s c a n d i d a t e , b u t t h e r e i s n of a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn .

DATERECEI VED( MM/ DD/ YR) NAME AND ADDRESSOF CONTRI BUTORRELAT I ONSHI PT O C AN DI D AT E` ( i f a p p l i c a b l e )

DESCRI P T I ONOF I N KI NDCON TRI B UT I ONEST I MATEDFAI R MARKETVALUE

I F FORFUND- RA I SECON TRI B UT I OV I E- . , - PP , ,

. ~ - e S P~; S - x w , 5 03 C ~ q$

( D ~ ( 3 f D y " 6 a l 6- 9~; r . e S S o 3 0 ` % S - f - ~ 2SO.