#oR /:rRucrrorus.

sEEBACKOF FORM
-ffiP'rltiL
t(lUllT'/
DISCLOSURESUIUIMARYPAG
RE*ffi.$VHD
colunarreeNAMEluusto@
r)et) b.f i,,
I Ir
IMPORTANT:lndicatetype of commitreeyou arEreportn rcn if.*,
S
(1)Statewiderlegistatirrecandidare P I
(2)statewfttepAc(3)starepao(4)drrfiriGTl
( 9 !9rttv PAc ( 6 )Ba[ol rssue/Franchise
comminee(-7)bounty/crycenla cohminee
( 8 )Support Slate of Candidates

Penalties Due For Late Filed Reports Rangefrom giO to $400

D I S C I - ( t S l l R Ft r ' 1 t ' f '

ocT221996
I AM FfLTNG
A REPORTFORAN/A(t) ELECTTON (2)NOifi_EtsigMN_y_EAR__
(reportdate) lndicateone I

trCHECKIF AMENDMENTTO
REPORTDATED LocalCommitees,enter Dateof Election

I Check_ifthis is final (termination)reportand attracfrNoticeof DissotutionForm DR-3.

(Youmustcontinueto firereportsuntila Noticeof Dissorution is fired.)

STATEMENTOF CASHON HAND

cAsH oN HANDat rhe beginningof the reportingperiod.
flhis is the total
of all moniesherdby the committee.This amountmust ue tne
sameas the cashon handat the end of the last reportingperiod,
or mustbe zeroif this is firstreportfiled.).......................:....... ........................$ /ilt.6a
ADD TOTALMONEYTAKENIN THISPERIOD
ScfieduteA: CashContributions total(AftactrScheduteA) ................ -o-
ScheduleC: Fund-raisingEventstotat(AttachSctreduteC).....-.-......... -o-
ScheduleF: LoansReceived total(AttachScheduleD.................. -o-
scheduleH: Totatsatesof campaignproperty(AttachsclreduteH) ................ - o -

suB-rorAL.....$ /q l?.6e
SUBTRAGTTOTAL MONEYSPENTTHIS PERIOD
ScheduleB: Expenditures
total (AftactrSctreduleB)
-42.3.r
ScheduleF: LoanRepayments
total(AttachSc{reduleF) _ -o-
cAsH oN HANDat the end of this reportingperiod(if final report,balancemust
be zero)(Attrach
DR-3)...........

-o-
lN KfND CONTRTBUTTONS
(From ScheduteE - Attactr ScheduteE)...-............. -o-
...........$
OUTSTANDINGLOANS (From ScheduleF - Attach ScheduteF) ................. -o-
...............$
CANDIDATE COMMTTTEESONLY:
CONSULTANT BREAKDOWN(ScheduleG Aftached?)
_YEs X xo
VALUEoF cAMPAtcN PRopERw (FromscheduleH - AttachScheduteH) -o-
(.

FOR'IVSTRUCI'ONS,SEEBACK OF FORM SCHEDULEI

- MONEYSPENTFROMCOMMITTEE
ACCOUNT
B |
EXPENDITURES (Rev.02/96) | "o***"
E(PENDTTURES
STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONSMADETO STATEWIDEOR LEGISUTIVE
CANDIDATES,USTTHE CANDIDATEIDENTIFICATION
NUMBERIN THE DESIGNATEDCOLUMNAND THE E CHECKTHTS
BOXrF
PACCHECKNTJMBER FOR EACHEGENDITURE. A LIST OF ID NUMBERSIS AVAILABLEFROMTHE IOWA AMENDING
FORM
ETH]CS& CAMPAIGNDISCLOSUREBOARD.

NAME(Mustbe sameas on StatementofOrganization)

COMM|TTEE

Fd e'tJ s 1" E/ea/ Ro.-s

GAI\IUIDATE MME ANDADDRESSTO WHOMEXPENDITURE PUKP(J!'E AMgUNI
DATE ID NUMBER (Disbur&ment)WAS MADE (CANDIDATES SEE EXPENDED
E)(PENDED (if applicable) BELOW&ENTER
(MM/DD/YR) AI.IDPAC 1,2,3',)
CHECKNUMBER
rm - Co,erotl Qopv Ce*t(etz- Ca*paty)
,f
sot/ N, c/irE (.aads (
t -u-7t cK# _
Ca.r.all to_ g/4/a/
/ | '
?2.r"
tD#

ct(# ()

tffi

cl(# ( )

IDF

ct(# ( )

tm
cl(# ()

tffi

ct(# ( )

tD#

ct(# ()

SUB.TOTAL $ 72. st
TOTAL (if last page of thls schedulQ $ 7z.rs

THIS BOX APPUES TO CANDIDATES' COMMITTEESONLY:

Campaign fundsmaybe usedontyfon

(ll campaagn putPoses,
(2) constituensyexpenses,and
(3) educationaland otherexpensesassociatd with dutiesof office.

Pleaseinsertthe applicablenumberin the purposecolumnfor eachexpenditure.

purchasesof certaincampaignproperty costng $5OOor morernustalso be inventotiedon SclreduleH. (Rebr to ScheduleH instruciions.)

Expendituresto persons/entitiesprovidingconsuldng,advertising.fund-raising,polling,managing,organizingseruigesmustalso be detailitemizedon

ScheduleG by the amount"purpose,and date of eachtype of expendituremadeby the prson/entity on behalfof the candidate'scommittee.(Referto
Schedule G instructionsand lowa Code

ease / ot /
,- .*(forscneoutJif