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FOR INSTRUCTIONS, SEE BACK OF FORM FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE


COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 07/2004) + REPORT

c (' ' For Office Use Only


Ini-))y Jfrcnc ~r ScvX.,ci\ CC~C
Comm . #
IMPORTANT: Indicate by #type of committee you are reporting for: Logged in
( 1 )Statewide/Legislative/Judge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party Scanned
( a )County Central committee ( 5 )County Candidate ( s )City Candidate ( 7 )School Board or Other
Political Subdivision Candidate (8 )County PAC (9 )City PAC (10 )School Board or Other Political Computer
Subdivision PAC (11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY:
Candidate Name Political Party (if applicable)
Late reports are subject to
possible civil and criminal
Office Sought District (if Senate or House) penalties.

X74 -GGo C~ m/G~


SIGNATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

1 AM FILING A `z eC, t n , .? GoS REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR .


(report date) Indicate by # F]

f6HECK IF AMENDMENT TO REPORT DATED q - ~-' O `' Local Committees, enter Date of Election

C Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed.)

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period . (Total of all funds held by the
committee. This amount MUST be the same as the cash on hand at the end
of the last reporting period or must be zero if this is first report filed.) ......................... .........$ aGG
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below) ..........
Schedule F: Loans Received total (Attach Schedule F) ............. ........ .............. .............. ......
Schedule H: Total Sales of Campaign Property (Attach Schedule H) ......................... ... ......
(Schedule H amolies to Candidates' Committees Only)
SUB-TOTAL ..... $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ("also see debts and loans below) ....
Schedule F: Loan Repayments total (Attach Schedule F) .. ............................ .............. ........
CASH ON HAND at the end of this reporting period (if final report balance must
be zero) (Attach DR-3) ........... ........ ...... ... .................. . . . . . . . ... ........ ... ......... ................... ........... $

"UNPAID BILLS (From Schedule D -Attach Schedule D) ......................................... ........... ............ .$


"IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ...... ...... .. . .. . ..... ........ ... .., ..... .$
"OUTSTANDING LOANS (From Schedule F -Attach Schedule F) ...................................... ......... ....$
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
CANDIDATE COMMITTEES ONLY:
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
For Instructions, See Back of Fonn SCHEDULE
CONTRIBUTIONS - MONEY TAKEN IN
A MONETARY
(Rev- 07103) RECEIPTS
(Indudin9 ms's personal funds)
Q CHECK THIS BOX IF
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 IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 68B.32A(8), 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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) " TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (d applicable) RAISER
NUMBER INCOME
ID#
Sc(ndra (jar land
P ICLC e $
11,2_510-5 CK# 3 8o I S W 2 F "'
i 00-co
p5 M , 1 50321
ID#
Marc iC1 free ~ e
/~2 5 105 CK# U -79 - 5
100 GO
es oine5 lA 505(2
ID#
I-lorry 5-trok' husband
-71-25/05 CK# 372 I S W 2S h PI .
2 150. Go
be s W t F( 503aI
ID# ;
'I-c, ~-v) , 5 Vi e r I brc; ke
`7/.2 -T/C5 CK# 9250 1-leltot rcpe
'D~s Mo i nc 5 : 1o i;.:c~ 5G31~ 1 00 . ~O
ID# jn n e ~ R I &lard I-1 e ~ r~
7/27/05 CK# Tho r n ta l-i A v e . 100 .061
~ 50321
Carp 1 5fro Mother - I n .
Law
(511/05 CK# b 15 Par k S~ . 100 Z-~ 100,06
5G 3O y
ID# A . Joyce Sm I -i-h
~J J I /OS CK# ~Z5 i I 5W
D .fv1 .503~1
ID# J Ph I (, K

CK# 3'71 ,5 w l cc, t-y-y e I OO GG


M . II} . -j6a :2- i
ID# .s 61 ee,1 Tyler
fjau 1
A/05 CK# 1 117 4 4 '_'~ 10000
D (YI . (4 031 1
ID#
.leW ~ Fatri eke L'I n k
CK# 41 ;.9 Forest Ave- 1030 . cx3
~~C)5 (1

SUB-TOTAL 75'
$10 00
TOTAL (iflast page of this scheduleo

Disclosure law requires candidate committees to disclose the relationship of any relative rratldng a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If sumame of contributor is thesame as candidate, but there is no Page of s~' _-3
familial relationship, enter "Trot applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev . 07103) RECEIPTS
(including cas e's personal funds)
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Orlgranizatfon) AMENDING FORM

STATE CANDIDATES NOTE : IFA CONTRIBUTION IS RECEIVED FROM ASTATE PAC (POLITICALACTION COMATTEE), UST THE PAC IDENTIFICATION
NUMBER AND THE PACCHECK NUMBER IN THE DESIGNATED COLUMN. A LISTOF ID 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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) ' TO CANDIDATE' RECEIVED FUND-
(MuUDDlYR) AND PAC CHECK (if applrable) RAISER
NUMBER INCOME
ID# R i CIiictrc~ and Joyee Chap roan
Dr $
/05 CK# 5700 HarWCGC'
100 _Co
ID# Jahn F ~Shid y SChne i (er
~/-4/05 CK# 5 154 :2 L1 file Lea V Trai 2~~,GG
wn+M , (6 Sa<C" (,'
Arny ~ keno Wiese.
/C)5 CK# ~, g G 7 thorn kGrl 5 0.

(Y1 )i,t_an 5 C y-)


CK# I L,2 Z4 ye ti nS y i Van I a. 1 C}C'9
Sc> ~ r ~
ID# (~CSc~ er

~~4 ~0 5 CK#
C, 13 L Ci IoG acs

ID#
W . il~arr~ ~ Cyrc~1 e ~n~c'r
CK# )-,4 1 c i .L y ~' Wi t , I GG
ID# fobart Joanne: fY~<,zl' 1 -e-y
20 ~; 2 rid 1 C'C' . 00
g/ CK#
106
-S
P'1rVkip P(, mer(0t z
CK# `f 7 C C, VU E 1-Gwr~ 1~.t' k ltiC~~ ~3 ~cc, .CG
l
~S Woi' " , --3-c, ?- i,iv
ID# 5c{ n-) k~cd a i nc v
St o
CK# Lc B I 5G 00
~G~ iZ
ID# Warren E Jchnscr)
Fa-I-h~ t-
CK# r-5 Cc
~~lisle , I so~47
SUB-TOTAL
$ I SOG .CG 25IS"o
TOTAL (of lastpage of this schedukg
Disclosure law requires candidate committees to disclose the relationship ofary relative making a contribution to the
committee . Relationship must be shown tothe third degree ofconsanguinity (blood relatives) andftity
areavesy(lti b
manage) . Ifsurname ofcontributor isthe saner as candidate, but there is no Page f of
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07/03) RECEIPTS
(includbrg ms's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

STATE CANDIDATES NOTE: IF ACONTRIBUTION B RECEIVED FROM A STATE PAC (POLMCAL ACTION COMMITTEE). LISTTHE PAC IDENTIFICATION
NUMBERAND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF IDNUMBERS 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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (4 applicable) ' TO CANDIDATE' RECEIVED FUND-
(MMNDDM2) AND PAC CHECK (If applicable) RAISER
NUMBER INCOME
ID# L~-l iI 1 cLr yi 7 Iti1 Cx r y Jczn ~. ,
jY1c n+ f so j-)

I~~(1J CK#
kvr3'5
SOD-L3
VU~uI<ee , I i~
5 ¬, jjcllclay &e-6t Cir lC

-
'Shar or) HGI Z
CK# 1-3i 1 Co"n-try C.l uiD (~i vcb .
10C cc
clive i (V 5G32a
eeverty jchnsan Step
irnath e r c~
Pl C,"J/0'3 CK# I 4 8 ~F 15 r i6~=~
(?car ~ste i .~ soo 47
ID# (--',nrbarY, A n-iend
33 i L
. Pcv k - l4-ve
CK#
OU ~2 I
ID# oaf-)Ieev' Murrl ' C. G
CK# YI
58 I S j~arwcCCA C)r IG
SC! 3 i z
ID# .T. IIOt'SGr-)
od
CK# 12f5Ci 7 I r>~ `3+ ~~
`56 5 i
ID# ~lUrrr~c;n~
U- T
CK# 4 3 F. M . 11 e
~% IC35
C) N1 'roG ,-3 15)
ID#
' C rcr' IC'arirl < ~jG~'irtE'bE'
165 1 3i "/C , C',eckCCr Crr . . i . L ci~l : _ . U
CK#
CI1vc jo- Ja
ID#
F-lc~ yden ~' ~ri~'11eE=n Cv;rr~
k,5 CK# -,'6( 7 - 1~'ic r n ic rn 2 CJ G G.
~o ~3 2 I
/ ID# M ~ . Al fired C I ~-,~ ha_In-~--
CK# 9 'G 7
D ~V SC3~- I
SUB-TOTAL

TOTAL (rf last page ofthisscheafrde)


Disclosure law requires candidate committees to disclose the relationship of any relative maldng a contribution to the
committee. Relationship must be shown tothe third degree ofconsanguinity (blood relatives) and affinity (relatives by
marriage) . Ifsurname _ of contributor Is the same as candidate, but there is no Page _ of -~
familial relationship, enter "not apphcable" In the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev. 07/03) RECEIPTS
(includeg candidate's personal funds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Orgenizatlon) AMENDING FORM

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER ANDTHE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. ALIST OF ID 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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT IF FOR
RECEIVED (if applicable) ' TO CANDIDATE' RECEIVED FUND-
(MANDD/YR) AND PAC CHECK (if appicable) RAISER
NUMBER INCOME
ID# Chc rle5 K ('e~~3~1 S1- r e~
'25 . x
I

// o216 f) CK# ~4? 5 rk.~ ~_ $


5e3 tZ
ID# ,
ShcXd ~a r
CCC, i c~
C~5 CK# 4oc 9- G rand '~ CoG I ~~ CMG'
~5 63I 2
ID# f1'lary (YkEddcX
y5 ,s
~l l CK# q 5,5
3 i ~.
ID# ~ r~d a 1 l ~) ~ nt ers

R G`c~ k' S
CK# M VCC'

S.L~5 12
ID#
Cwt'G - ~' ccfh y CaadI i I
CK# 3gGo su~ ~2s"-St ~~

ID# Jc rYIc.~ z 0or - Gth y V tc kerY


I 1 /G~ CK# I I1 I -4 1"t
Il
ID# }

CK# X14 ° S i c t-t 'v C~


1 c,> 45C,3 2-1
(u ID#
!`~Iwt~ce~ a1 ~uf~ Avidersc-r~

W I
ID#
kihard " Wyce
I u~~ CK# iSG9 I-}eIlder- '300 2 6,
- 06
5G31to

JI ;z~~,,5 CK# Of-


So 3i2
SUB-TOTAL $

TOTAL (rflast page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (Wood relatives) and affinity (relatives by
mamage) . If surname of contributor is the same as candidate, but there is no P
familial relationship, enter"not apphcable" in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE
CONTRIBUTIONS - MONEY TAKEN IN
A MONETARY
(Rev. 07/03) RECEIPTS
(Inducting candidate's personal Aids)
0 CHECKTHIS BOX IF
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 IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. ALIST OF ID NUMBERS IS AVAILA13LE 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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (ifappWable) - TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (dappicable) RAISER
NUMBER INCOME
ID# 'f.
~c~ufcd L`Ql'GlE' ~GC'rY7~r`
'56
F/"" 5 CK# 21
~crcz . lA ~aam
ID# n~arir (3e I fraxi? e,
h/ j 4C°S CK#
3 4O CI 44 '- P I
i~j ~,~ J GG
5G .~2
ID# T- R 1-~ u b e r- r

/ ~ /CIS ID#
(~c b~'r_
.f 15
.JGni C e n yd e r -
CK# C1 i I I'Y1 a l ee l. C
~L~12
ID# ,e.rc y % °iCC~ir')tCt IAaY)CCjc I~
ua CK# 3a ur ~~c- 1clrKl Ave
5f' -5 i
ID# G,Y,~I ~G(~G~erl~fl
1

CK# L~ , G 1 1,S ,-2 4 +"

ID#
~)O . 001
SC 321
ID#
AnJFeW ~ 0 ,enise Fl y on

CK# 3 o l ca."W ek- Ave


~~cy3~l
ID# I cc~ai~
JU-d r+~~
CK# N103

ID#
L v'1 J~1y~ er
lloZ/GL.~ C
56 3 l ~- ~ ~c
SUB-TOTAL OG
TOTAL (ff lastpage ofthis schedule)
$
Disclosure law requires candidate committees to disclose the relationship of ary relative malting a contribution to the
committee. Relationship must be shown to thethird degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor IS the same as candidate, but there is no Page j of vl
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev. 07/03) RECEIPTS
(Including ca rdidaWs personal ftards)

CHECK THIS BOX IF


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 IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID 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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) ' TO CANDIDATE' RECEIVED FUND-
(dIMiNDD/YR) AND PAC CHECK (d appicabie) RAISER
NUMBER INCOME
ID#
~; 1/a"Ci , e 13~~Aw
/ 1<Q Jf.5 CK# 313i F"leul- At GU~ $ 66,00

ID#

Jl /GS CK# 3131- ~'le cr: ,0~: 3G~ 5U GO


3 -a/
ID#
/ , ,a~~lly @lark
CKI

ID# y /e ~lGri lfc1~/YW ~7

CK# `-/ G G L ecr1 "z'-/Ci~ l°/


lC~G CCt
7lb

CK# , a ~lcf?ia Ly"~


W~ 1667
SGT/2
ID# J
C?e~ ld Gluff~s- /66
.721
i~/,~2kf) CK# Z-/ 36 j` ;
/'-~ 6-6 3a:z a
ID# hl711115- /~~CLf~~SC 11 c,v

9 2

ID#

l b 6 ;11'e
I L,~ CK# 11 ~ JLtj J l5 t ~t

(1/~~2 CK# `70C ,Ge// 14ve

SUB-TOTAL c 7 ~~] ~ ,.

TOTAL (rf last page of this schedukq

$
Disclosure law requires candidate commdtees to disclose the relationship of ary relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and afinity (relatives
by
marriage) . If surname of contributor Is the same as candidate, but there is no Page of -~33
Mmifral relationship, enter "not applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of For<n SCHEDULE
CONTRIBUTIONS - MONEY TAKEN IN
A MONETARY
(Rev. 07/03) RECEIPTS
(Indufn9 can4ate's personal funds)
Q CHECKTHIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organizatron) AMENDING FORM

STATE CANDIDATES NOTE : IF ACONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PACCHECK NUMBER INTHE DESIGNATED COLUMN . A LIST OF ID 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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (f appicable) - TO CANDIDATE' RECEIVED FUND-
(NNYDD/YR) AND PAC CHECK (f applicable) RAISER
NUMBER INCOME
ID# ,~
l`GthG~L/,ah ~Cl/IC'CL'7
C~G
l~ ls~ s~ ~ 11
ID# 5 - a/'7d/7yv A1uf6
g /1 105 CK# lei-_
5-6312
ID# - / .
~ ~Qi7rC~ 5`tef)l
CK# ~iG i7 /~sh b y f~vc C%

Go
41d'
Io5 CK# Y,22 l No it~oc~C~ -
ID#

ID#
ca

. I D# ~~r
fi
Gi~ CK# 76 _3 .s t lG~
~O~l :2

CK# .-~6 l'l'Je~ec~~ h fir. lC~C


~a3 .22-_
ID#

~~5 CK# ' "'


,-)nC3 8C'CtUeY'%~Ve sG
3~~
SUB-TOTAL
co ~~IcS G
TOTAL (rf lastpage of this schedule)
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to thethird degree d consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, butthere is no Page __7 of
familial relationship, enter'not applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07/03) RECEIPTS
(including car1didate's personal oxide)
0 CHECKTHIS BOX IF
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 IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID 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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT -I IF FOR
RECEIVED (if applicable) ' TO CANDIDATE' RECEIVED FUND-
(MWDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# Jerry Crci (,4-fc rel
/ICI $ 66
CK#

ID# mo,y (f Qye rc e~~


/~ IC CK# ~~ 7Ufv ,. :~ CJ 7~~csrr~ to~~ ..

ID# of to I I e
l/k ' 05 CK# sw 24500
ID#
` heMlc" -tP,to %C~liic m Dame
CK# 1 3L7y -) 60 10') Ave 06 .03

CK# ~ Fo ~~er 12
2O Q

lD#
Ol'~1rC%v ~ IC kGGC~
CK# SCIS CcLlllft , y Chi() Blvd IG0 co

t 1 5 CK#

jI CS CK# 3-101 J vV ~ ?. CC)

',-30u-t+)err
h fir .
~0 1
ID#
Ol c1 x l n ~ (Y1 c Ca

SUB-TOTAL 10
$ l0 ~~ (l y ~,~
TOTAL (if last page of this schedule)
$
Disciosure law requires candidate committees to disclose the relationship of any relative maidng a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If sumame of contributor is the same as candidate, but there is no Page _ of A
familial relationship, enter 'not applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev- 07103) RECEIPTS
pnciudirrg candidate's personal funds)

-
. 0 CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Orgenizatron) AMENDING FORM

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID 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 them statutory political committees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) - TO CANDIDATE' RECEIVED FUND-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
-;5 ele
$,
CK# a 3i / xtl : L aC~rz ;s ,~

ID# ~'Ichcira ~'lvl ra. l~


CK# as C%clc"e~ . ~v ~25 .C CT

ID#

:~7o3/Si
ID# L&I m/ /7 cc J( E r
"jar-) E'
ill l CK# 1 .2 `!~L- '~ rJ C)C~

ID
_
CK# .-59 30 Lr 'X,t~ , C~' =2Gh

ID#
0 17

(U~~r - t r rQye 6Ctr


CK# 3 3 /_j GC .fl7 is7 G`K'c~CS ~'-

ID#
~Ccs2~ ~ /
CK# l7cI 1C%L! j <x

J c~~a =hy >, Gczi~rr~rC' f


ly
CK#

~l l c~/~' ~ Carclir ~ Lc vlI~ r-


cK~ -~'~l G rrc c~ e l'<C~ . 6-6

SUB-TOTAL
$

TOTAL (9 last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative malting a contribution to the
committee . Relationship must be shown to the third degree of -nguinlty (blood relatives) and affinity (relatives by
rnafIage) . If surname of contributor is the same as candidate, but there is no pap of
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev. 07/03) RECEIPTS
pnduding care's personal funds)
Q CHECK THIS BOX IF
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 IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 688.32A(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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (d applicable) - TO CANDIDATE" RECEIVED FUND-
(MM/DDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# iludl `fh 'orr~czi~5

ID#
lY,Y~r f~~ lly
y

ID# -

~Il ~I G~ CK# CUs fto~ ~t v e

I
~n J 5 CK# 6o
//IGYlG~l D ll.~ ~ 0 p2~
i7/7 /7 .i~4 G/
J66 CK#

C
ID# ,~ ~~FC~ lC=-r)c ~- curt
'ovobe~
8l/ ~u5 CK# y Fa s te n ~ G'
ID#
Flelw .h
s a ~35~~l 7
ID# --
t~~e .~ ten, ~oyc'~
i
CK# 4,~'/,3 Leye'el- i~v-e
6-G3 17

I 63' CK# 2'76 5~ -S'(&

SUB-TOTAL

TOTAL (rflast page of trilsschedule)

Disclosure law requires candidate committees to disclose the relationship of any relative malting a contribution to the
committee. Relationship must be shown to the thins degree of consanguinity (blood relatives) and arrinity (relatives by
marriage) . If sumame of contributor is the same as candidate, but there is no Page of
familial relationship, enter "not applicable" In the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev- 07/03) RECEIPTS
(tndudin8 cue's personal funds)
Q CHECK THIS BOX IF
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 IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID 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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (f applicable) ' TO CANDIDATE` RECEIVED FUND-
(MIWDD/YR) AND PAC CHECK (of applicable) RAISER
NUMBER INCOME
,~ebECLc . 69o k
`4
ID#
~n~lertl ~ ,~ ~~
e
1 C 3,/G

1 l~~zve ! altar/ l ~' lL2TTt'nYJ

LG 31O
ID#
Pavv jl)err'I L1111,e
k CK# j 5O PQr1C 131 ~. .
~~ c;0

C qi '7 lc ~'~ l C ``
u~nrn . i s~a~~

lc"~5 CK# 16,`14


-4
L1JL
<51~ "~

ID#
Can LI I P~o rnt .
i C, C ;

CK# & -7 65

CK# t
~GC,
G,~ ice,
.
ID# a
/ OPob X
11 /5 CK# 3 iv lG Y ~` Gt v ~~
a
ID#

1 CK# n`'
ll~ l S "~.f

I
l'\ cLio ~ l a ~L/ F ILL Ju
t e
G ~ CK#

SUB-TOTAL o

TOTAL (iflast page of this schedule)


1$
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page J_~ of ,~Z
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev. 07103) RECEIPTS
Ondudin8 ms's Personal fixids)
[] CHECK THIS BOX IF
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 IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 68B .32A(6), Iowa Code, prohibits the use or information copied from reports and statements for soliciting contributions or
for any commercial purpose by any person other than statutory political committees.

DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) " TO CANDIDATE' RECEIVED FUND-
(IWWDDIYR) AND PAC CHECK (f applicable) RAISER
NUMBER INCOME
ID#

l /0"3 CK# 1-5107 Ate_


j
ID# j
~-~2 Ui 6Y f TG2~~cu ~1j'rC=h
U J CK# t Gi-~ C4rc r~2~ eve `
ID#
///Qm '0le~e

61%t/caEray
cK# k1le 661
I 6/- 0o hefb GC%cfu:~~~
l ~ / J CK#
Grid ~I c<'e M

Mw QC'% !lab'Iell ,cam

_.
ID# 1
Jcahr~ /Ylfz~y ~r~~ Cre~~er-
CK# 7 - f"
.SU3~l
ID#

k1s- =-2l

k_i , ~ trf e f
~V''2
~Jx~ r i cK# Jebu& ff Li

l~ f V,~il~ t Mai"l e kk I ke,- ~7


CS
CK# 37 c~ l

SUB-TOTAL $ q~ f
0
-
TOTAL (iflast page of Urns scho kde)

Disclosure law requires candidate committees to disclose the relationship of any relsWe making a contribution to the
committee. Retatlonship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
manage) . If surname of contributor is the same as candidate, but there is no Page f ,~ of
familial relationship, enter "rot applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. G7103) RECEIPTS
ondutgn8 candidate's personal funds)
CHECK THIS BOX IF
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 IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID 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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT -I IF FOR
RECEIVED (if appk :able) ' TO CANDIDATE' RECEIVED FUND-
(MANDDfYR) AND PAC CHECK (if appicabte) RAISER
NUMBER INCOME
ID#
7/Wcv )6' C~f

ID# T71ts
.lay
CK# AV
w h,~. lraczy 4
` GUczu k E-' SG~lo ;"

ID#

CK# 76' ~r 7hoi c, e


ID#
~QC~fJ? F' 19 fC
CK#

CK# --~ ~
663
ID# l T~~r~z Ira
o~
C) CK#

e1kti;cph s rz h 7~u2s

SUB-TOTAL $
L}
-
TOTAL (if last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree consanguinity (blood relatives) and affinity (relatives b -,
marriage) . If surname of contributor is the same as candidate, but there is no page _o of A)
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev. 07/03) RECEIPTS
(Including candidate's Personal funds)
0/ CHECK THIS BOX IF
COMMITTEE NAME (JNust be same as on Statement of Organization) AMENDING FORM

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMM7TEE), UST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 688.32A(6), lam 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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT ,I IF FOR
RECEIVED (f applicable) " TO CANDIDATE` RECEIVED FUND-
(LONDDIYR) AND PAC CHECK (d applicable) RAISER
NUMBER INCOME
ID# ZUrCi` ~Jew?ol f~/ Oman
?s,~ ls CK# ,~ S 3o-rc

ID#
k^, ,IC'
4Z
1 ~, l c 3 CK# s- - - 'la cy. lGC~
SGT/~
ID#
LCtl .ry , .'
3I 7
i

~~
CS
/A CK#
k~

ID#
/ C ' C' jc~-ta~ e ~"kzcJC~
~sil G~'J CK# iG l Lam e) CYCZc~c~ ~ ?
C

;~oS ~Gi S CK# ~~ ?3G C;~. -~C Cr r ZXI

ID#

< = CK# 24> 17 3f)


ID#

Z-oco/~-) ~l Dr. _, _>


ID#
~/ cc;

CK# l~ irlc ~~3 ve


G J 1,S-
SUB-TOTAL Cu 211lLS
TOTAL (iflast page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be slwwm to thethkd degree w consanguinity (blood relatives) and affinity (relatives
marriage) . If surname of contributor is the same as candidate, but there is no Page
familial relationship, enter"not applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07/03) RECEIPTS
(Including cwOdste's personal funds)
Q CHECKTHIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Orgar&a ion) AMENDING FORM

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COM IITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 6BB .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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT -l IF FOR
RECEIVED (if applicable) - TO CANDIDATE' RECEIVED FUND-
(MWDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER
_ INCOME
ID# ~lCtYil~~l ( ~E.r~lSfc- ~cl M yi fJ
$ CG
CK# cz~( eve
G3
ID#
61h er y l F/C%cc,l ) Le c ~-~,
c
CK# ~i ,~G
ID#

~' 3
ID#

CK# / 7

ID#

al '; /Li CK#

ID#

ID# 'y
~, _ .

0 PLC 't
ID#
Ila U 3J, i I -f-
7t ~ 4. F>
/ > CK#
~ i ce _
~ 3) S

ID#
d
CK# 'kho L,, id F Wd 1 CSC

~. ID# l.$iq ' (~efn zed JGI'1Ci-tc>n,5


01.E /ll J
CK#

SUB-TOTAL

TOTAL (rtrastpVe ofaft scnedde)


Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by ,-
marriage) . If surname of contributor is the same as candidate, but there is no Page ,5 of
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of Fonn SCHEDULE

A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07103) RECEIPTS
gndudin9 candidate's Personal funds)
CHECK THIS BOX IF
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 COWITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A UST OF ID 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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (f appkabie) - TO CANDIDATE' RECEIVED FUND-
(MMIDDfYR) AND PAC CHECK (f appkable) RAISER
NUMBER INCOME
Lo FE'r ecdo
5C ~ 5c,

ID# Sa l tact ~
LI . '~e i~a.l (A
nl~~ 1 c.5 CK# -3 -7 I'S cz ,

ID# Mark ane l I 5' L 2sn-L1l


CK# I r7 ~ ~s Wld t Gt r'1 C~ -Ave 2CJ . c~

CK# 02 S - '~ ~~ rctl

wc -2d lcvd
, -~ u
~U31 ~

CK# IS .S Is
L3Il
ID#
(!W1cs `, TfiC~ UJ%Ed`ei -
cam'
CK#

y i .7 'A

a.IAS Cki') ACA le f-)


CK t-I I
C31~-
ID# h

/c~S )
ks,
SUB-TOTAL $ am
c' Cj J I
TOTAL (lf last page of this schedule)
1$ 1
Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship
, must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by /
marriage) . If surname
of of contributor is the same as candidate, but there is no Page 61 --
familial relationship, enter 'not applicable° In the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07/03) RECEIPTS
onduding candife's personal tunds)
0 CHECKTHIS BOX IF
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 IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID 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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT -4 IF FOR
RECEIVED (if applicable) - TO CANDIDATE' RECEIVED FUND-
(MANDDIYR) AND PAC CHECK (9 applicable) RAISER
NUMBER
,~ ~, $ INCOME
ID# GG .re /I,(/- Z' el-
b
U~Lj 2
CK# l1 ~C )ICC /7' ~li e-

ID# °., Ile


Or Y
CK#

ID*

ID# She Ids c) Vi>c~ ~ictb inQt,Uitw


CK# iUj

ID#

174, 51/6 CK# 3i `S Lv i 1S ~1)

" ID#
I~'1c, ~' m Ql y , O eSScZ(-i e, -

x - Z G .2C-
ID#

_:> O 3 l
ID#

6
2=
ID#

1~4 CK#

ID#

' 5 6 B 17
SUB-TOTAL cc~

TOTAL (rf last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative making a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and amnity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page ~~ of R-
Mmirral relationship, enter "not applicable' in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07103) RECEIPTS
(Including cue's personal funds)
CHECKTHIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM ASTATE PAC (POLITICAL ACTION COKWTTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID 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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT d IF FOR
RECEIVED (if appkable) - TO CANDIDATE' RECEIVED FUND-
(M6NDD1YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
`S1 LC J C~-1) ~'L~ JS
$
l AIL, S CK#

ID#

CKAP

ID#

CK#

ID# j~~~~

k< CK#
Cx
0316
ID# . /~~LL~7~ S .ll ~tGll~ E'~7
'l Tlff(~ I~I7y ~ oc~j
6'71o CK#

ID#
r1G~ r :f llGe k,.e &ewe
~lL'J CK#
-
ID#
CYJ
/ 7lt~S . CK#

ID#

n1~& , ~-- ~ 66,

7C r3
SUB-TOTAL $ C w I~~ IG

TOTAL (iflast page of this schedule)

Disclosure law requires candidate committees to disclose the rel tionship of any relative maldng a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by -,
marriage) . If sumame of contributor is the same as candidate, but there is no page /~- ^ of .
familial relationship, enter'not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
[] CHECKTHIS BOX IF
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 COW ITTEE), UST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID 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 PAC ID NUMBER NAIVE AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT -4IF FOR
RECEIVED ('f applicable) " TO CANDIDATE* RECEIVED FUND-
(AMNDD/YR) AND PAC CHECK (iapplicable) RAISER
NUMBER INCOME

CK#
se) -R/"-
ID#
CK# 7 / _~ . o .r
sz5 3 /.z
ID#

cK# ~J

CK#
XG`e

ID#
~l~ %fGs
lG~

ID#
f'Y''ie` ;~~ c

C47 4-e -e
ID#
~

cc;;

/ ID#

SUB-TOTAL $ ~~ 3q G

TOTAL (iflastpage of dos schedule)


Disclosure law requaes candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page Aq of
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev. 07/03) RECEIPTS
(nctud'mg carddate's personal funds)
[+ CHECK THIS BOX IF
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 COhMTTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NITERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD .

CAUTION : Section 68B .32A(6), lows 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 ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (f applicaw) ' TO CANDIDATE` RECEIVED FUND-
(MINDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# "ML h,2 e
lu,r1, J - ~ 5..

CK# 1 L, 7--
~(i J '

ID#
f ~J
4G`C
ID# ~
,ei'ry L,-)&d

CK# &rov j1-x,-rofo,-r Ave- 1610


~G3~/
ID#
Leo,-) 3 tJiLtr~rK.` ~ heG2rcr
CK# l i lU rzzc~G Trl. 1 G`~
GWa
/ ID# fPrK e

/ /L 5 C

4) CK#

4 CK#

ID#

ID#

SUB-TOTAL $ 5 -
7-
TOTAL (oflast page of this schedule)
$
Discbsure law requires candidate committees to disclose the relationship of any releWe rralcing a contribution to the
committr3e. Relationship must be shown to the Urird degree of consanguinity (Wood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no
familal relationship, enter "not applicable" in the relationship column .
pap ~U of ,~
(for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev- 07103) RECEIPTS
(Indudxg candidate's Personal funds)
Q CHECK THIS BOX IF
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), UST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A UST OF ID 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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) - TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if able) RAISER
NUMBER INCOME

l JUJ CK#
3&rra ;l

ID# v
(

qtr /~ . CK# ~l~1 Sy lG"~'~ : .Ave 6c:


l'i't d . (- a -, S L
ID# nI "
C y P c- t~)
CK#

ID#

bG~l ~-
ID#
Ha h ;'e Cad s
CK# w3 C"c.l land ki e
ID# c

-711 CK#
=XJ ~' 1

ID#

/ ID#
~1G
I ~,2 b4 o ti C~? u IC`V

CK# R" i/~

/
ID*
ni dIC~e ~ T-'rc 7~c` kyn *~r- CIO

SUB-TOTAL
$ 57o J5 ~i
TOTAL (iffast page ofOft schedule)
Disclosure law requires candidate committees to disclose the relationship of any relative maldng a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and at6nity (relatives by
marriage) . If sumame of contributor is the same as candidate, but there is no page - of
familial relationship, enter "not applicable" in the relationship column. (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev- 07/03) RECEIPTS
pndudirrg cand'rdaWs personal finds)
Q CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM ASTATE PAC(POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA ETHICS AND CAMPAIGN
DISCLOSURE BOARD.

CAUTION: Section 6BB.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 stab" political committees.

DATE PAC ID NUMBER NAME ANDADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT .f IF FOR


RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MW)DlYR) AND PAC CHECK (4applicable) RAISER
NUMBER INCOME
D#
Ted $

ID#

lv .~ CK# / ~ :3

ID#

C l 3 ~369 AL, C , k lYf-~ l~~ l

ID#

ID#
r l1;C2z4cr &u~.Y't!s c~,f ,hUc-.~i /o/!-9 C

e> ? CK#

S-
CK#
6 3 lQ--

~ci

-,. ~-~K:

ID# ,

CK# ZqC
ID# ,

c~aYL .3/2.
SUB-TOTAL

TOTAL (rf last page of this schedule)

Disclosure law requires candidate committees to disclose the relationship of any relative maidng a contribution to the
committee. Relationship must be shown to thethird degree of consanguinity (Wood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page of .n
familai relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Form SCHEDULE
A MONETARY
CONTRIBUTIONS - MONEY TAKEN IN (Rev- 07103) RECEIPTS
candidate 's personal funds)
pn
CHECK THIS BOX IF
COMMITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

STATE
NUMBERCANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUMN. A LIST OF ID NUMBERS IS AVAILABLE FROM THE DIVA 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 PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT J IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MWDDiYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# c2rr~ /l ' lCc~i7-~ f~c~.ll
k~> CK# /7S9 Plc"/-)-)

k CK# T 71q /c/ ,e t; J~, S


~G ,3 Lz

CK# G> -3 L,/ -cam"

, ID#
Arc' /UC.2")~'c~, .l Se-)
k
G

L>G, 2
ID#
Lyzz,ns '- ~y ~~h f~

< < ` lj
1 ~ CK#

ID#

CK#

CK#

CK#

SUB-TOTAL

TOTAL (iflast page of this schedWe)


$ 7 q&
Disclosure law requires candidate committees to disclose the relationship of any relative maldng a contribution to the
committee . Relationship must be shown to the third degree of consanguinity (Wood relatives) and amnity (relatives by ~ .3
rrrerriage) . ff surname of contributor is the same as candidate, but there is no P of
familial relationship, enter'not applicable" in the relationship column. (for Schedule A)
FOR INSTRUC77ONS, SEE BACK OF FORM SCHEDULE

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev. 07/03)
MONETARY
EXPENDITURES
CONTRIBUTIONS
STATE PAC COMA/TTEES: NOTE : FOR MA* TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE C~HECK THIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA AMENDING FORM
ETHICS & CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Must be same as on Statement of organization)

/rv/,/-377WAA-~- fU2 -~(2PGG4L 6G/,91'lj

CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED fit applicable) (Disb~0 WAS MADE
(MMMMR) AND PAC
CHECK
NUMBER
ID# ~/CZ1)e lye ii) PC, ~ ta,ye,

CK# loo I 3& Iq Thorl&,, $ l


ID# N IleC-aa
CK# JGci,~2 C _ ..N
1 73c E' C~Rf~&o 6;,o3/Gv `~ /1e l CCrc 4.5
ID#
~~l7 (a 7. / S
CK# /0 b.Sc:r ~fr,E'

ID# LrT,°, T, y'aa-d


cK# ,6c:4 /7 1 /

ID# . -Ur
.0/9 V i i7 Pl70lG C-Yi
~Ifsl~~;" ~G. 60 Y G~' .S r
CK#/GGS
3o ~'
ID#

CK# 100b
-.
ID#

CK# 16& 17,;39 C

ID# JTi Tz ~: C:.C. L ~` ~TrC'/C_ ~rYJCc 1/ c ~C'C f s'


CK#,GO Y C

SUB-TOTAL $
TOTAL (iflast Page Of this sdtedule) $-

THIS BOX APPLIES TO CAND11DATES' COM1111111ITTEES ONLY :

Purim of oertath campaign property aosf $500 or more must also be inventoried on Schedule H. (Refer to Schedule H instructions.)

Expenditures to peraons/eatities pravid"mgcorrsuliing, advertising, fimd.taismg, poEng, managing, organizing services must also be detail itemized on
Schedule G by theamount, purpose, and date of each type of expendituremade by the persoNendty on behalf of the cavtdidstes committee. (RWerto
Schedule G instructions and Iowa Code 68A,402(3)(i).)

Page

(for Schedule 8)
FOR INSTRUCTIONS, SEESACK OF FORM SCHEDULE

EXPENDRURES - MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev. 07103)
MONETARY
EXPENDITURES
1
STATE
CANDIDATES,, UST CAI~DIDA=~'E
PAC CHECK NLJMBER FOR EACH
Fm cowmonww
TWJITION
NUMBER
n~IE o tmca~
. A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
HECK THIS BOX IF
AMENDING FORM
ETHICS 3 CAMPAIGN DISCLOSURE BOARD.

COMMITTEE NAME (Must besame as on Statement ofOrganization)

_
CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (d applicable) (DlslwrsemenO WAS MADE
(MM1)DfYR) AND PAC
CHECK
NUMBER
ID# C rier ~',r/rfir~~ ~?r}/rrP iGl(; C'r12~
~~ 7/G;
CK# ~UCq 17. $ 163. ~=y
ID#

CK# 7'cl C ' C',.: rq/v/j f v~ , `S C'ifrP ~

SG fib
ID#
~r - cr l?~ry~h'~Tlti'G ~i9/Ll~LC~ "
c~~/~OS 5b'/7 C
CK# ~C'lGcz=C~i - F' /~W
lGll

Cn ~J'~PCli~Z 3 3, cc)
~G CK# &) /I-)

Yo-
C" l013
ID#

CK#

ID#

CK#

ID#

CK#

SUB-TOTAL
TOTAL (if last (rage of this scixadlule) ~~

THIS BOXAPPLES TO CANDIDATES' COUWTTEES ONLY:


Pumhesm of certain campaign property costing 5500 or more must also be krvsnioned an Sdhedde H. (Refer lo Schedule H instructiom)

Emxm&ums b pows-WeeMas p+mb*8 fig. fig. fig, pig. m nsgk4h organizing sw mist also be detail derrimd on
Scredule G by the amount, purpose, and daft of each type of opanditu e made by the personlontity on behalf of the candidates carrarifse. (Refer to
Schedule G bshuctiom and lows Code 68A.402(3)M.)

(for Schedule B)
I
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
D INCURRED
COMMITTEE NAME (Mustbe same as on Statement of Organization) (Rev. 08198) INDEBTEDNESS
c (
NOTE
:
-irc.,rlq
[B'CHECK THIS BOX
IF AMENDING
Debts previously reported that remain unpaid must be included on this
Schedule, as well as any new obligations incurred in this period . FORM

DEBTSIOBLIGATIONS REMAINING THIS REPORTING PERIOD go s or


goods services ordered or
(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDULE F) received, but not paid for by the
end of the reporting period.,
regardless of whether an invoice
has been received .
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MMIDDNR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD*

-7 -]

(Yl uS c

1 t~ C~ ( C, r v11~,~1 ~` ~-X

'
, CSC `

SUB-TOTAL $

TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD


3-4- 72. '/7
$

*If actual figure is unknown, show "estimated" beside the figure. Page of -1
(for Schedule D)

CANDIDATE COMMITTEES NOTE :


*Incurred indebtedness also includes each persordentity with whom the candidate's committee has entered into a contract during the reporting period forfuture
or continuing performance. Enterthe name of the consultant who provides or procures services for items such as advertising, fund-raising, polling, managing, or
organizing services . Report on Schedule G the nature of performance and the estimated performance reasonably expected of the consultant.
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E IN-KIND
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 06197)1 CONTRIBUTIONS

CHECK THIS BOX IF


AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED J IF FOR


RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND FAIR MARKET FUND-RAISER
(MMIDDNR) OF CONTRIBUTOR * (if applicable) CONTRIBUTION VALUE CONTRIBUTION

JC;41(; ,~ ~ AI ; IU -

or"I fie n ~_ e<2krr- 4 7, -7 ff


I r'O7iecG ~I~CrI~

;

F-1

F-1

'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the Page / of
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives (for Schedule E)
by marriage). (See Page 2 of forms packet.) If sumame of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .

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