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I
FORM
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2003) REPORT
01-~i j1Wj (wi ~vcclL ro,~ For Office Use Only
IMPORTANT: Indicate type of committee you are reporting for: Comm. #
57
Logged In (n .l
( 1 )StatewidefLegislative Candidate ( 2 )Statewide PAC ( 3 )Sta
(5 )county PAC (6 )Balot Issue/Franchise Co Scanned
( 8 )Support Slate of Candidates
Computer
Audited
Office Sought
Late filed reports are subject to possible civil and criminal penalties .
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :
I AM FILING A ~ (! 11_ a, a OO REPORT FOR ANIA (1) ELECTION 1(2)NON-ELECTION YEAR .
(report date)
Indicate one a Local Committees, enter Date of Election
OCHECK IF AMENDMENT TO REPORT DATED
A//)Ut~~ ? 2o0G
County & Local Committees, enter County in
_ Check if this is final (terminaAan) report andattach Notice of Dissolutiorr Form DR-3 . which Election is held
(You must continue to991e reports until a Notice of Dissolution is filed.)
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE. UST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF 10 NUMBERS IS AVAILASLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION : Section 628 .32A(6) . Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees.
MRWA s Edt~~ S
CK,*++ 010 L0 .'.JVfJ .eGt/ ~ SO, _
~oZS3 1 Ui/,~ lc"X-!a~ =X L,,A S" pv1 A-0rUE
) U2 Aji ewck:~-
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITi EE)" LIST THE PAC IOENTIRCAT(ON
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.
CAUTION : Section 62B.32A(6). Iowa Code, prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .
DATE PAC 10 NUMBER NAME AND ADDRESS OF CONTR16UTOR ' RELATIONSHIP AMOUNT v IF FG
RECEIVED (if applicable) TO CANDIDATE - RECEIVED FUND
(MMIDO/YR) AND PAC CHECK I (if applicable) RAISEf
NUMBER INCOM
I
J" Cdr1-e,yh
!D
6vlt;u f- L
QA`s
CKK 3gob ;
7_e_-7U&,
f:-A
1D°* 4e 4S A4 . .t Mj42Th a Ltd. w hA~sj,-Ad
3~ .7`l ioc~~~ ss~
-
/6
CK
;-713 .4 &114 efZ1vn _-Z- A S-0 -7o i A) D AA& /1.~.
I D* !4e l4A "1~~65~'6- 44C .'rlr(U4.T,- (k4 J,*rE
5~7 aaCsD 8gqZ
/,6
C K1
117 ~(~ we6-u- . Cft!
¢ ~2 Z
r Su
ID *
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/ I Dx
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CK
tivti 140
~tJ/~ 1~7L a~ SG7v " Y80G
7r, A)
y~c cK ' y 57 ,~ SAe~- aR~t avo~~ LAS;
510 wA 3 tj
CKR l .,-
_1_44 t.Q27rL~ s ~ ~tJDQ~ lc2a,
~~'y =A -76
*
:
ID
.L Lv.4 y~6 'T, we:!~s61_s J".?
3sYi ~yswor,d
ls
~~ CK
*3064
SUB-TOTAL
C141.
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE) . LIST THE PAC IOENTIFICATICN
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .
CAUTION : Section 68B .32A(6) . Iowa Code . prohibits the use of information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees .
DATE
RECEIVED
(MM/DD/YR)
PAC ID NUMBER
(if applicable)
AND PAC CHECK
NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP
TO CANDIDATE
(if applicable)
- AMOUNT
RECEIVED
v IF FOR
FUND-
RAISER
NUMBER INCOME
Io#
r
l ~r~ tv v2yASuko5W,.&y
7i ~b~/l
vc CK#
3L9S '-.I lc~X lOS . 1_4 . S--b-70 i -2 Z
10# . Sti
v2 Sh~a2n
CK# ss? ~ 9,7~ ';K /1:dy~
/00.
U~K~ c~~4 Ubal
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
CK#
CK#
10#
C K#
CK#
SUB-TOTAL
r-o(L.,
COMMITTEE NAME (Must be same as on Statement of Organization)
i
(*1i Z 5 ~r t~7lJCG~G
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE 10 NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
i~ A.~ f=a.--
- ,4 0f2 ,4 f
.~ y 2q iGt ~ dwa y >~2
CK# /x)4 $
h07
rte_ ~ U,CX f ,~o ._
1D# T,,4mi T. lf/, ~'7VG~/~
e&ph64 .,J,' df Z sq
CK# Ar't64 2! ~ES 2t o.yGs Lc/l?iLG 47- / -7s6
.,~r
~11" Tcfaon. ,_Z-A ~ 0 76 z
ID#
ci 4 er,5~,,4 So d W,4 - cxl0_) A-lap
CK# //vn 2
Cvvy tvA
ID# ,e /.v T Z,-,
l Nlz .~v
E.. ~`~'S f
CK#
let o Gt/l~1 TC~tou, ~EA -S-C-76 `3
ID#
114,17-7- 1-1v/2i h fbJ +.- h rrly yAt{x
l
wJ1/ C,abi~ 44/073
CK# wig Y C-As ,Z77
W/i %2lv7, .1 ..,0 0-2-
SUB-TOTAL
$ 3yoG 69
TOTAL (if last page of this schedule)
Purchases of certain campaign property costing 5500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
on
Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized to
behalf of the candidate's committee . (Refer
Schedule G by the amount, purpose, and date of each type of expenditure made by the persoNeniity on
Schedule G instructions and Iowa Code 56 .6(3)(1) .)
FOR INSTRUCTIONS . SEE BACK OF FORM SCHEDULE
MONtTARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE
. ACCOUNT 13
(Rev . 09/97) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE 0 CHECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF 10 NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS 3 CAMPAIGN DISCLOSURE BOARD.
e, 2- &W.5 F2 w, ~. s~~
PURPOSE AMOUNT
CANDIDATE NAME AND ADDRESS TO WHOM
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DDIYR) AND PAC
CHECK
NUMBER '`
C)
lvL. CK# /O/ L
~gT~xl~ ..~a sa7Q~._ay~s
ID#
CK*
IDi#
CK#
ID#
CK:
IOU"
CK:
I D#
CK*
1D#
CK#
ID#
CK#
SUB-TOTAL $
ATTACH SCHEDULE H TO
COMMITTEE NAME (Must be same as on Statement of Organizaffon)
e
EACH REPORT, MAKING
CHANGES AS REQUIRED .
I ~/ 2'e.Gj /"2&2
Ej CHECK THIS BOX IF
AMENDING FORM
PART I - ONGOING INVENTORY OF CAMPAIGN PROPERTY PART 11- SALES OR TRANSFERS OF CAMPAIGN PROPERTY "'
Date Purchased
(Schedule B) Purchase Current
Price or Est . Value at Fair Date Name and Address of Purchaser/Donee Description of Property Sold? Sale Value of
or Date Received Description of Property
Value When Market This (MM/DDNR) YIN Price Donation
(Schedule E)
MM/DDNR Acquired* Re
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