Professional Documents
Culture Documents
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.)
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
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.
~~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
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
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 ~~
W I
ID#
kihard " Wyce
I u~~ CK# iSG9 I-}eIlder- '300 2 6,
- 06
5G31to
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
ID#
~)O . 001
SC 321
ID#
AnJFeW ~ 0 ,enise Fl y on
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
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#
9 2
ID#
l b 6 ;11'e
I L,~ CK# 11 ~ JLtj J l5 t ~t
SUB-TOTAL c 7 ~~] ~ ,.
$
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
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# 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#
',-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#
:~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
ID#
~Ccs2~ ~ /
CK# l7cI 1C%L! j <x
SUB-TOTAL
$
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
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# -
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
SUB-TOTAL
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
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
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~~
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
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#
61%t/caEray
cK# k1le 661
I 6/- 0o hefb GC%cfu:~~~
l ~ / J CK#
Grid ~I c<'e M
_.
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
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# --~ ~
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
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
ID#
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#
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
SUB-TOTAL
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 ,
wc -2d lcvd
, -~ u
~U31 ~
CK# IS .S Is
L3Il
ID#
(!W1cs `, TfiC~ UJ%Ed`ei -
cam'
CK#
y i .7 'A
/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*
ID#
" 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~
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#
7C r3
SUB-TOTAL $ C w I~~ IG
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
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
/ /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
(
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
/
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.
ID#
lv .~ CK# / ~ :3
ID#
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
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"/-)-)
, 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
ID# . -Ur
.0/9 V i i7 Pl70lG C-Yi
~Ifsl~~;" ~G. 60 Y G~' .S r
CK#/GGS
3o ~'
ID#
CK# 100b
-.
ID#
SUB-TOTAL $
TOTAL (iflast Page Of this sdtedule) $-
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
_
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#
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) ~~
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
-7 -]
(Yl uS c
1 t~ C~ ( C, r v11~,~1 ~` ~-X
'
, CSC `
SUB-TOTAL $
*If actual figure is unknown, show "estimated" beside the figure. Page of -1
(for Schedule D)
JC;41(; ,~ ~ AI ; IU -
;
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 .