Professional Documents
Culture Documents
File with :
IQod . SMA Iowa Ethics and Campaign
Disclosure Board
Office Sought
510 E. 12°' . Ste. to
I~E7°QESEwr~77VC Des Moines, Iowa X19
Fax: 515-281-3701
!.811Srepotle top lc ciA and akrnirt>7a petal . Puratwitto tam Code sedaon SSB.32A(7)
the candidate, for a candidate's e tmttee, arut the chairperson, for any other type of committee, is the
irdividu onsible for i timety and accurate reports .
IAMFp A
( ) lndi~ate by ~ !,!i
TORIIORTf-A-MD 6GTZ6Q Z9 ZaQ7 t.oeal Committees, enter Date of Election
Check If this is final (tevtnination) report and attach Notice of Dissokrtlon Form DR-3.
(You must continue to file reports until a DR-3 is filed .) ` County & Local Committees, enter County in
NIP _I{, ; Uhich Election is held
H~ to OaandfttiittAs' t:OmFlmmm1303
SIA3-TOTAL . ... .. . ..... . . _ .... .. .$
71 -/S7. s8
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
B: ertdtsnes total (Attach Schedule B) (*"also see debts and ltd below) ... ..... .. .___.... 2 /
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
RECEWED (if applicable) TO CANDIDATE' RECEWED FUND-
(MM/DDfYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
AIGL AA)p674So~tJ
Cb ,ZDZJ7 CK# iZ7Ch Co~-c 60-01r&_ PKwV SE $ - .o0
ii-' X P)Pa o
4a_-X-r PQ
SS FOS
Q~ZD-U
CK#
ID#
.14q uIA) Vl5 / 7"(2 Ri
SEAT
ALAI) &WWAQb
o qt~.
' Disclosure law requires candidate committees to disclose the relationship of any relative making a contributon 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 i ,Tn SCHEDULE
Reset Form
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07103) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
C fTTEE NA E (Must be same as on Statement ofOrganization) 10 AMENDING FORM
t U1C ~~'
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 IF FOR
RECEWED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DDNR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D# `Z6NNeN CA,,gGC
!OI-l-d
S-__0j
~ cK# S 60" A)06- A v1 . S -c oa,
G~02 fLOA i~S LDc.JA SZ~o 3 _
rtfELo~y Tv~2a~s~2 _ __ _,
CK#
CEDAR A,t1A' DS 10g
.)> Z4oZ /~
ID# 8.0 Z(o 1&6W &DUCAT-10x14 1_ GM TE-
CK# 0-71`30 /(2S /~ S T"- ^~~ -
10 /) Zpoo
ID# Mg4/oa) 7/A4E5
CK# 1d G rN ST Su1T-e t
/0-72-0y l
ID#
/If"y
CK# /Z/S -7y77-157- rt1E
CJEb4 .,2 A P i0 &LJ SZ O Z
I D#9 (al o /,4&0
4--~W_Kaes, C1oc.,OL 89 Pbur7CAe-
~iz. FAN
SZCO J ST' S'0
D-21-0
CK#
3a5S 2 P i,O iber/A sq0 7~- °°--
ID#
- ,& Rc FA6-ABEa2
CK# / LL V. /( T9 Si. . ob
A)/6C
b-" -O ~2~OEa2fc-t4,02 CAAJO Zi 70Z
Joy &)QU t A-) r
CK# / -75 AD4AiS -5- 7% d4T-/oN
Kc-. .cl ,VE&J o2,G l l 20 -
ID#
eecXl Ly A.c,6( 0/,(I) '
CK# (o e 367 W -41m Av5'. 5-i ,t,)-
O-II-o AA ibs lepj4 solo Z5 .
C/1AQy LE Lc/. V) TV4trsgy
CK# 352- PWArt rOWAC.6 3-E- E:1
SUB-TOTAL
EU 5 ; (A t -
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLITICAL ACT10N COMMITTEE), LIST THE PAC IDEI,171FICATION
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 63B.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-
(MMIDDIYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# D6AAlW h2" 6A12fl v, ni, 1
Q GrQp~fE C-7- . AJ .E
C1 $
Disclosure law requires candidate committees to disclose the relationship of any relative retaking a contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives by Page of
marriage) . If surname of contributor Is the same as candidate. but there is no (for Schedule A)
familial relationship, enter "not applicable" in the relationship column .
For Instructions, See Back of I _,m SCHEDULE
Reset Form
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
C~ rrTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
7
Ek n(_ 02E5eTpAi-We
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLMCAL ACT10N 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 ~~ IF FOR
RECEIVED (if appricable) TO CANDIDATE' RECEWED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# $AA.A%1 Lf 7TLE Z
CK# S(/2y c.ED.a/Z D.4- w"w. `" ('
00
6542 PAS L oT 5-- 1
ID# 7 t~Q$
IOWA
Patbc.2AT7c AA,27Y
D cK#
~ ouJ
A)E
ID# X22 S cu-)A GopE Pez-
CK# t3 10
S°f 3'eo s r. w. w. oa
-.
-~S ht/ASNJAXr7vd) D .C-. S ZOGiD
I D# 6 o Z(,, !4~Ck) En uc4",AVA c_ CM 7'6_.
CK# ,ST_ A( W. ,J~ .
07951 /VISA /~ DC_ 2QCCC~5-
ID#
~~A) FILE)/
/9o GoT'rA UE C/2ode7 AI4E' 5-E . lzz
CK#
D- 22-0 CED C2 A2AP,o5 io .-)A S-Z-/ ,03
ID# 96"72 LUMB674s -1Ii(A,oc- x77E~ts CaCv4,z,r
~ "w
izoA 4
CK# ( ! ( `~ 839 ~ S
"D
ID# IP//3 4FSGR4E' 1104j .4 G40JAdcfI-
CK#
O ~ 30 Z `J 3~~ti - Z.wo AVc"
s a o s 2D'
eaD
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 of 15
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of , _gym SCHEDULE
r~7
ITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM
. rZG~ g2PSaJ(Ai1UG
STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FROM A STATE PAC (POLMCAL 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 (if appricable) TO CANDIDATE' RECEIVED FUND-
(MMIDD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
9381 l+ICPAC
CK# Z 8!/ 17/7 /< 5 T. /V. Uf SV/TE 3098
Dc -20o3
.6
10#
GK#
ID#
CK#
ID#
CK#
ID#
CK# "
ID
.
CK#
ID#
GK#
ID#
CK#
a
ID# '
CK#
ID# ~
CK#
SUB-TOTAL
G`Ys S ( T~ t t T 7711E
CANDIDATE NAME AND ADDRESS Tt? VMFfOAiI PURPOSE AMOUNT
DATE tD NUMBER EXPENDITURE {DESCRIBE TRANSACTION) FXPENDED
EXPENDED (if applicable) (Disburiament) WAS MADE
(MMtDDIYR) AND PAC
CHECK
NUMBER
K~«~nal. .
ID# . AD _ .
(DAtla4 ~, ~DIO 's
CK#
I
16 31 o s
(0 01f CK
111 0
K?-//A PAbto ~~DIZ) AWS 2lq .oo
IN
CK# (o~E l 'G - ~4tic (ADlo PAD,,, aD I s (4b7- S-6
a
ID#
C~clH.guR$d~l~xJt-'
kol2'1/ol CK# lptH 4j>kK PfltLLtp o
~ftcE PuES 5. S
ID#
ID#
of certain carrgaaign property casting $600 or more must also be Inventoried on Schedule H_ (Refer to Schedule H instructions)
Expenditures to personsienfties providf consiftV . Wwmftft, hnW-tskV, poftV . mana". Oqait V Services must also be detaill Itemized on
Schedule G by the amount . purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and lows Code B8A .402(3)(i).)
(for Schedule B)
r-Urz INSTHUCTtONS, SEE BACK OF FORM SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B MONETARY
(Rev. 07103) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE h, " CHECK 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.
~nlL1 ` CK#
N4 3~0_ °°
STK sr. Ca. _ .
_ iA
ID#
a
i
$~ 9D ,
Sup-TOTAL
TOTAL (lflastpage of this schedule) $ 3 4
Pum as of certain carnpaign prop" costing $6W or more must also be Inventoried on Schedule H. (Refer to Schedule H instructions .)
Expenditures to personsfentities pr"ov#din9 consulbnp. adwartis;W. fund-raising, poHMeg, managing, organizing services must afro be detail Itemizes! on
Schedule G by the amount. purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee. (Refer to
Schedule G Instructions and laws Code 68A.402(3)(I) .)
(for Schedule B)
FORINSTRUCTIONS. SEESACK OF FORM SCHEDULE
E IN IUND
(Rev. CONTRIBUTIONS
0
FAIR 1YIRKET FUNDRAISER
OF CONTRIBUTOR (ifapplioew) CONTRIBUTION VALUE CONTRIBUTION
120,
a
OY
I
~Z ~sS
t.
/I/
1ZC
lyd 9 'D L AL
~.~ .~
y ks~ T
"A e7
El
0
a
SUBTOTAL I 0
IQ, Ys-
TOTAL (ii feat $
pa°a
schoduia)
Y°Zr ~3s"
'Disclosure law requires caodidales to disclose the refthons* of ary reb8ve maidng an in kirid contrbutiooto the Page / of
committee. Relationship must be shownto thethid degree of consaoguWly (blood relafives) and &Wft (relstlves (for Sc
by marriage) . (See Page 2 of forma packet.) If sumarne of conlributor is the same as curdidate, butthereIs no
%mf relationship, erter "riot applicable" in the relationship column.
FOR INSTRUCTIONS, SEE BACK OF FORM
I
FORM
Reset Form
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2004) REPORT
/1~ ~1
11/
SIGN RE OF ERSON FILING R TELEPHONE DATE SIGIED /
-' HECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election
U Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . County & Local Committees, enter County in
(You must continue to file reports until a DR-3 is filed .) which Election is held
**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 1:~'
_ O
CANDIDATE COMMITTEES ONLY :
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H) $
Printed using the IECDB V Reporting System on 12/14/2004 10 :1, DR-2
4M FILING A ti
REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.
(report date) j'4" Indicate by #
0 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 .)
**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) . ........... .. .. .. .. ....... .. .. ....... .. .. ... .. .. .. $
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
For Instructions, See Back of Forr SCHEDULE
A
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03)
MONETARY
RECEIPTS
(including candidate's personal funds)
Q-CHECK THIS BOX IF
MITTEE,,NAME (Must be s me as on Statement of Organization) AMENDING FORM
T 1
STATE OMDIDATES NOTE : IF A CO NTRIBUTION IS RECEIVED ROM 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-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
I D#
~
ZBc-W Lduct.)-i E nu ~e
117_5 t.5 ,jf-.
f Z( CK# 6~93a lnlasl~t~ , t7- C - Z060'5 , D~c~
v
ID# ~y~a r~`rrh -T,'Tk es
loll cK#
33
ID# ioyr,~
~
cK# Cpl 15
4),:,, i-1
ID# /AWry r
rar5 ~`/' sV. Alb
1d) cK#
e, -- Ys, 0 z
5 Z-OL"
o(rfi~ Gd~l ~Gcr
161Z11,94 CK# ~" - .
ID#
ID# J~Lw
vl9 D CK#
l~zo /
ID# cky LYh~~ 7 -D .
G
01
~l
CK#
cam- yam; z~ ~- 44, . a
ID#
35a %~ra~ S~
v l ~' CK#
ID# C--tee
3900 G Al f
/0 CK#
, , ,TW -,,7.2qll .5
0~ 7-6
SUB-TOTAL
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 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of For, SCHEDULE
DATE PAC ID NUMBER NAME AND ADDRESS OF CONTRIBUTOR RELATIONSHIP AMOUNT 4 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# 4- ,
-50 e "'. v~
r
v7vZ J ~ 4il r, ,_
)6 lk. C3 Gr $
3Zyv 3
/Zteld CK#
CK# 3& ~- t,
1b Z- 0/6`~ 138-10 k~ ,~ 7~ ~~ 7703
ID#
(9 157-
S lo o
l~~Lo~ 6~ C" o 3Z G~ee~
ID# Gl( ~Iba h
~ Lzw~
CK# ~~z ~s f - /D
T o2
ID# ~i1x-r~o'Toato
13 A) - ~f - SUv
CK#
ZN o
`A, Z4 SAY-T
ID# jai lh % kY-
~~
1 Zz ozl CK#
ID#
CK# 1/v
l3 ti
ID# IT66;n l~(Jh ;f
A, 3 3 6,
~6 CK#
hhlk s4 3Z o4l
ID#
CK# .5
o ~G( .-~
-/S O~ 5 Zyd
SUB-TOTAL
~~ Cw Co m ~n IN, 4\ ) Wlksh %, C_
f,Q4.0 0A 2 1'a- 4_ 4 ! TOTAL (iffast 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 affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page o,2 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Backof For, 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 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
C~ f ,e 6 ~e -56 $
vl2o%W1 CK# Z
-
~.~-r-
CK#
~C - _
r ~52410-5
ID# -
C>
to l~~a ~ CK# ~S~
, Z'f9 5-O do l
ID# yam v ~ ~ ~ s c~,.7
S.
6
CK# oe~/G~ GU
S ~/,000
A 5 5:2 U
ID# GGc,,~ _
CK#
ID# ( /~
f
3 S~
K
ID# s4we- FC-,-loes
v/
r,4 ~aa d D
Yr'G~(.~ Iytl~.-~G
f ~9 a C' ~ ., 5Z:>
ID#
gl ( ~C u.e ` Q Gs- ~
l CK#
l7
l d f'y
CK#
:14 .~qll _ -29
- ._ CK#
o z61C) 21 4 ~r-.~4[a 3
SUB-TOTAL _
J P (~-as-.od $ f°
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 of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no Page ~1 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of For SCHEDULE
CONTRIBUTIONS -- MONEY TAKEN IN A MONETARY
(Rev. 07/03) RECEIPTS
(Including candidate's personal funds)
E3-1614ECK THIS BOX IF
AMENDING FORM
STATE-CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FRdfA 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 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
_
'e
ID# /~f2<<Q~d~ ~rAz,
l Ys ~b
f v~~ 9ldz{ CK# s~ Z<q -5- Z I-Ad
Z
ID#
~~ss
l~ zv off/ cK#
2
/~ Zo cK# l
znq ~I1
ID# f(Q oh~3err /
cK# yz 3 ~z S6 SwZy9 - r3
'A, ~ 52-yo l
ID#
w ht .T" L - C" <v
olr s
53-
ID#
ZZ0 ( S v
cK#
' ID#
J ~ ZC 31X54--- 3yv
CK# 'D
~~l hw7 2W -
ID# f~rZ- .-rcl ~r
' ID#WSOaoo~ -
1~3j~l
f
~0 cK#
j
o ~, , raw ~tsa Z
' Disclosure law requires candidate committees to disclose the relationship ofany 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 of
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of For- SCHEDULE
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-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ~~~~- kJ'~55'e.Q
CK#
ID#
D40 I t
A
MI
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
SUB-TOTAL
$ 53D
TOTA~. (if last page of this schedule) $ 3-1--
,~sm 55 15 , "33 5~2
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) . ofIf 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)
t-OHINSTHUCTIONS, SEE BACK OF FORM SCHEDULE
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT B
(Rev. 07/03)
MONETARY
EXPENDITURES
STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLUMN AND THE BECK 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.
MITTEE NAME (Must be e as on Statement of Organization)
II'~ ~J~~ l
` CANDIDATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC
CHECK
NUMBER
1D#
Jd/u a~1 CK#
4w`hs I~
ID#
JU\g :3 c~s er 5 t>7e~'f'~ ~~
jd Zl CK# ~7r 5 "Z~
U, (~ L .T
ID# K-ktg-y
CK# i 95'?- ~3~31exjr4lry 4~4t_
/ ~ s, SZLt'~ Z
ID#
to l~~ cK# ya s '5 -:S 5
/
ID# X
CK# ~d73% J
ID#
10/~
I
CK# Ceo i G~
ID#
6
l ~~ ~
CK# / % ~ 6 k&t3~
C2ew~! S 5~~ d2
I --~ v
ID#
CK#
SUB-TOTAL $
TOTAL (if last page of this schedule) $
(for Schedule B)
I
F`OR INSTRUCTIONS, SEE BACK C ARM FORM
esct 0
DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same as on Statement of Organization) (Rev. 07/2004) REPORT
iJ~19
For Office Use Only
Comm.
IMPOI~TAIT: Indicate by S type of committee you are reporting for: Logged ~
(1 )Stfiwke/Legislative/Judge Standing for Retention Candidate ( State PAC ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Candidate (6 )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 I (TD''-D
I q -~~
CANDIDATE COMMITTEES ONLY :
didate Name
Late reports are subject to
possible civil and criminal
Office Sought penalties.
(A 0-- /(~ZZZLOZ
TELEPHONE -DA E SIG D
n Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. C unty & Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed.)
"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) .. ... ... .. ... ..... .. . ... .. . .. .. . .. . . . ... .. . .. ... .. .$
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
For Instructions, See Back of For SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
HECK THIS BOX IF
C MITTEE NAME (Must be same as on Statements9ffganization) AMENDING FORM
STATE l-ANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVED FRO A STATE PAC (POLITICAL ACTION COMMITTEE), LIST THE PAC IDENTIFICATION
NUMBER AND THE PAC CHECK NUMBER IN THE DESIGNATED COLUM 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 V IF FOR
RECEIVED (if applicable) TO CANDIDATE` RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# $p Z_(.e ~+ Vwi,
~ -ESL
. . N 6N
11,E i'S*St
) Zl p44 CK#
v1'T3a 5 ~ ZOOS'
ID#
CK#
ID#
7n +a
E:1
TCurv\ Wuk*
aaS r 'In l~'~ffs 'Q'` ` 5t-r
clwas_
CK#
I D#
1 19'~ CK#
~s -
sa~toa
Li
ID# % p0ceALts L,o co_e
;q
CK# DS~ _176 do i VV 'K_
/0 //
f
'o
CK#
ID#
1(ur
1 t4l4_d-
F
-2i an 0
W
MO 2.I El
, ,S '5T,, 10
1~ l a~ CK#
Sb EJ
. IIItza,
CK# SW
~$ 3~
~«lS -G
ID#
~
t° ' Te. Sly
cK#
/V/(
ID#
cK#
/o 04 .7k
SUB-TOTAL
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 of 41
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Foi SCHEDULE
a
(Including candidate's personal funds)
CHECK THIS BOX IF
E (Must be sa as on Statement of Organization) AMENDING FORM
v
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 IF FOR
RECEIVED (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
a-5q)
' Z,Jus~ t
e Sc~ $
CK#
;A
ID# G Hl)rt IP~Z PGG-
I° No CK#
I D# Y~Q:k}}iM `lc~
.cilf~t'J ) i rrM
v Ld cK#
c) 3 oZ Z_Sy' a /~/h~d Sr, a-d
alv~o`l
CK#
_ I
_
ID# a-lsb
/
10.E
b LJJonv, Pr- Sw
S_
l3
r r, r'4
CK#
3
ID#
AW
/0 Z cK# Y
O CK# 5_Z( s a
4:~Z l
SUB-TOTAL
" 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)
of . If surname of contributor is the same as candidate, but there is no Page 2-
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of Foi SCHEDULE
CONTRIBUTIONS - MONEY TAKEN IN A MONETARY
(Rev . 07/03) RECEIPTS
(including candidate's personal funds)
c
STATE CANDIDATES NOTE: IF A CONTRIBUTION IS RECEIVED FROM A~kTATE 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 (if applicable) TO CANDIDATE' RECEIVED FUND-
(MM/DD/YR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID#
_
IDIZ016p( CK# ~f2-f4 ~,e. C Pk-WY sl~~ $
rgs) TA s.-lcT- uar S
fir
I D# Ado
lDl
CK#
Z4 5~ac~o3
~ 8c7
ID# .Fr9nrf A? ,
cK# `O QO ~
00
ID#
9~ ~~ ce_ ,~s ,~uo~ -c
00 Lf~s
I
CK# J~
f
d c9d
ID# ~ ~
Co le
-
151 4
D ~ ql6 ~ CK#
l l
ID#
° CK#
~6 l fly l
l / 3a~ 3
CK#
AZOL~Qsol
ID#
La4cn2
ID# II~i
/~ CK#
CK# 1~,z.S-~
161t"
SUB-TOTAL
$1805
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 of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname 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)
STOTF 9'W OMIMATGR NOT& : 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 vI IF FOR
RGtCEIWED (if applicable) TO CANDIDATE" RECEIVED FUND-
~IlMtt9DlYR) AND PAC CHECK (if applicable) RAISER
NUMBER INCOME
ID# ~ em u,,-mar
I D#
VAIL+
6/Zdlbif CK#
ID#
jo
1)
Zo CK# l3~
l~o l'j'I a3~+S~ "'j-
.~- . ~-: r
.moo 0
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
ID#
CK#
' Disclosure taw requires candidate committees to disclose the relationship of any relative making a contribution to the
committee . Relationship must be shown to the thud degree of consanguinity (blood relatives) and affinity (relatives by
marriage) . If surname of contributor is the same as candidate, but there is no
familial relationship, enter "not applicable" in the relationship column .
FOR INSTRUCTIONS, SEE BACK OF FORM Rewt F°rm SCHEDULE
v-ti- ~ c~ -w r
` CANDIDATE NAME AND ADDRESS 1 0 WHOM- PURPOSE AMOUNT
DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (if applicable) (Disbursement) WAS MADE
(MMIDD/YR) AND PAC
CHECK
NUMBER
1D#
1 ~1`
CK#
ID# KK Ita
N$"o4c,v~k-f-
J talZl /v~f CK#
C .~ 3,
1D# /1450 /044~
1a16/v-1 CK# / a/5-7- 8(a.+YS N~ ~ ~ lPZ
I D# aWp . M0
.ll~ PoS~OF 1,t
s 33~~~ x ~ s
l ea CK#
ID#
CK#
CK#
ID#
CK#
SUB-TOTAL $
lp~~Sy .I
TOTAL (if last page of this schedule) $
5
Purchases of certain campaign property costing $500 or more must also be inventoried on Schedule H . (Refer to Schedule H instructions .)
Expenditures to persons/entities providing consulting, advertising, fund-raising, polling, managing, organizing services must also be detail itemized on
Schedule G by the amount, purpose, and date of each type of expenditure made by the person/entity on behalf of the candidate's committee . (Refer to
Schedule G instructions and Iowa Code 68A .402(3)(i) .)
(for Schedule B)
FOR INSTRUCTIONS, SEE BACK OF FORM SCHEDULE
E:1
/46les t ZA v~ &Lb l E:1
F-1
F-]
F-1
F1
E:1
F-1
SUB-TOTAL S
ya( ~~
TOTAL (if last
page of this
schedule) r °~r ~3S
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the
committee . Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives
Page -L of -L
(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 .