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DISCLOSURE *vJMMARY PAGE DR-2 I DISCLOSURE

COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 1moo5) REPORT

Aeg GMe77CA( F sTAr~,PE1~t'SEUrAwE


For Office the f3rthr
Comm. # 7
2

IMPORTANT : Indicate by # type of committee you are reporting for. Logged In


( 1 )StatewidelLegialativetJudge Standing for Retention Candidate ( 2 )State PAC ( 3 )State Party
4 )County Central Committee ( 5 )C4xmty Candidate ( s )City Candidate (7 )School Board or Other Scanned
Political Subdivision Candidate ( a )County PAC ( D )CIty PAC ( 10 )School Board or Other Ponca) 177
Computer
3qxbdj)6.sion PAC i I I I Loral "lot Issue
Audited

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 .

Ds 9-,, $ - VS#1Z ov /0(_


FILM 70
.EPFK>NE DATE

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

STAT T OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period . (Total of an 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 rntaRt be zero if thitt is fast report tiled .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .5 . l 2S . zS "
ADD TOTAL MONEY TAM M THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ("also see in-kind below). . . . . . . . . . . . . . . ., . . . . . . . .
63 732, 33
Loans Received total (Attach Schedule F) . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Scttedule Ii : Total Sales of Campaign Property (Attach She H) . . . . . . . . . . . . . . . . . ., . . . .. . . . . . . . . . . . . .. . . . ., . . . . . . . .

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 /

Schedule F: Loan Repayments total (Attach Schadt.le F) . . . . . . . . . . . . .. . . . .. . . . . . . .. . . . . . . . . . . . . . .., . . . . . . . . . . . . . . . . . . . . . . . . . .


CASH ON HIND at the end of this reporting period (d final report balance must
be zero) (Attach DR-3) . . . . .. . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . ., . . .. . . . . . . . . . . . . . . . . . .- . . . . . ... . . . . . ... . . . . . . . . . . . . .. . . . . . . . . . . . . .5 r6, -Dot . 44.

"UNPAID Butts (From Schedule D - Attach SCt*dtAe D) . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 O


'1N KIND CONTRIOUTIOW (F Saga E - Attach Schisduls E) . . .. ., . . . ... . . . . . . . . . . . . . . .. . . . . . . . . . . . ..., . . . . . . . . . . . ... . . . . ... . . . . .$ - YZ, `f35~ a°
-OUTSTANDING LOANS (Fntnt Schedule F - Attach S F) . . . .,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . ... . . . . ... . . ., . .. ., . . . . . . . . . . .$ O

CONSULTANT BREAKDOWN (Schedule G Attached?) ~ YES x ND

VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) S

& Submit a tecorhcilsd campaign s bank statement in January of each year.


For Instructions, See Back of t _,Tn Reset Form
SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
C ITTEE NA E (Must be same as on Statement of Organization) AMENDING FORM

F~2 i~-nwrl_ RGUC- 1KI-Illie


STATE CANDIDATES NOTE : IF A CONTRiBLITION 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
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~.

163 Geo ~~~ SE oO


CK#
Gt"Y14k 2QPIDS la,-IA 203
I D#
d,Q0U T APP64-
CK# 10Ycl /$anW AvF.
0 -~-d eg r A S l
ID# 968a 6d1oe_ AA P "a s A 4ycOiA,6 MAO t5 AxlL-
p J _S '1'= s ,.J s~
o`
CK#
-c-1 ID#
SO`/ 7 CEDA e2 aA Ai o _ Bcd A SZ ~
,AAv4 Acl LLF~.
CK# (v/8 STuA23- e- r.
- 92-Z S .`=
GeeA
ID#
PE77Z-CxJ
GK# /do 8 (2~ja sTr~pQ S.C .
-l6-~ c=e2 lU O,, os_ A
ID#
544)E FoAA65
CK# t &°~c,ce~A JOA .
SD . -
0 - 18- 0 "M~ 3ua s
ID# 7-AD GAu12,G Gvs7TA _,
ALU6 41n&6 C.I-. Ale '' L
CK# 3/1Y

ID# WALrEA c.FC.xrsA-J8E2c,_


Lf/oo T,Zoc7u .-jE Gr . itl.E . .5
CK#
CE A QrDS l A:..1A
SUB-TOTAL
205Y'
TOTAL (iflast page of this schedule) 1 f

' 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

TOTAL (if lastpage of this schedule)


- Disclosure law requires candidate committees to disclose the relabonship of any re!abve making a contribution to Lhe
committee. Relationship must be shown to the third degree ofconsanguinity (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 t _rrn Reset Form SCHEDULE
A MONETARY
CONTRIBUTIONS -- MONEY TAKEN IN (Rev. 07/03) I RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
CQ"ITTEE NAME (Must be same as on Statement of Organization) AMENDING FORM

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 $

(bas CK# 3q~ f.


b Z5-.
ID#
57nA?J DVEZ_-
CK# Z2S9 ttAW1A-K,7nJ A 1/E 5 . t
o s~"oo
ID# t,ie -Qr2-
CK# /spa Gc_spu2 5 77. Al. 67-
A) OW--o A 1 2 o Z-
ID# Wq,_t4,5?21 CAMP C 4 B~cc,~KJS s LEy
CK# yY7o ZoS Al " 2N0 Ate-ttJE'. ST lSQ '"'
!v-lY-oy ~l i&.JA ,3-o2os
ID#
Pf(UG U1-NNdRe'-1) t;4rv F/r2K
CK# ZS7o /(cc_ij0Ay AWID SutTEI oo Q~
' Go2.o c-vll~c.E i to~.W s2Ly ~ ZSd
ID# q/oE~t6;L) .emou6ALJS-r4
$&y- Zoo
CK# - AT.
ADAwc L lo .~
lD~2D_Dy. yR A S2 3 0
ID#
84& 7-AYI-04
CK# 1
D-ZD-0Y CELLO .¢ 10A OS 6-0,4 Sz. o
ID# Td LO-2
ly .t6 X AVE-AJ .f-t).
tD~7~-a `~ CK# cEOwiz RAP QS &gJA
ID#
Eo e4l# rqtJA
CK# 810 FL41SETw°°0 El
t o-20 _ l A)DJA a1 Pou 5 A) N
ID# /rCUBlAi 1JAtrE
CK# /63 3 Z 6 5TN A tki.
l d-2D .o~ eA v1c--E MUM
SUB-TOTAL

TOTAL (iflast page of this schedule)

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

ID# DAVID L, AcrMA~L)


W4)1
CK# V8y GaJq y
D-2I-o N Au 83 2S
9680 C60.4,e XAPIOS AuiL.OW4 TRNAES pA
/ sobo 4 5 T . 5 . cJ . ao
CK# ,r~l --
GC-bA A I,0S &.JA Z c
lD#
AJo,QMA I/ l!A L0 6
CK# /9ys PA .e e Ave . S-E" ~, o0 a
1v-27_o Y Q Pi DS
SUB-TOTAL Go

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 15
familial relationship, enter "not applicable" in the relationship column . (for Schedule A)
For Instructions, See Back of , _gym SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


Reset Form
A
(Rev . 07/03)
I MONETARY
RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF

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

TOTAL (if last page of this schedule)


$ (03',73 .3-
3-
* 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 FORM SCHEDULE
B MONETARY
EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT
(Rev. 07103) EXPENDITURES
STATE PAC COMMITTEES : NOTE : FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE
CANDIDATES, LIST THE CANDIDATE IDENTIFICATION NUMBER IN THE DESIGNATED COLLMwd AND THE 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.

faa IT'I'EE IiAMh (Must be Salve as on Staten'rertf of Orgaraizabon)

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#

iohyl~ CK# Ic7-t2 ( Ry Q.AD~o A-Z vMlsEA1ej1-r%7 q-(,Z,oo


9 8fac _
ID#

IVolvs~~+ (;(01+3 ~sP s Ps 3~-S . Cc)


E %TFTW

C~clH.guR$d~l~xJt-'
kol2'1/ol CK# lptH 4j>kK PfltLLtp o
~ftcE PuES 5. S
ID#

C ~o~-ES ~LZI A Rr~A,o PbOg2 t-~wr b . oa

ID#

CIA# O- . 1 0 K7- R.ADto


t-- ?3d . `~ 2
t` .o . o
W ATw-21.-C0j I cwA Smo4 SUB-TOTAL $q q (

TOTAL (If last page of this schedule) $


1 1

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

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.

COMNU7TEE NAME (Must be same as on Statement of Organization)

ATE NAME AND ADDRESS TO WHOM PURPOSE AMOUNT


DATE ID NUMBER EXPENDITURE (DESCRIBE TRANSACTION) EXPENDED
EXPENDED (ifapplicable) (Disbursement) WAS MADE
(MM/DD/YR) AND PAC _'i 16
CHECK
NUMBER
ID ._

~0 til l CK# SUAW MEW A TY DU~RTtSE~uw -


t` $
- 67. 410- Co
ID#

~nlL1 ` CK#
N4 3~0_ °°
STK sr. Ca. _ .
_ iA
ID#

CK# l 8 K -i A, ~YERR~Is vma)Q T- ~ .


26,
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

Q CHECK THIS BOX IF


AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIIYATED IF FOR


RECEIVED NAME AND ADDRESS TO CANDIDATE OF IN KIND

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

For Office Use Only


Comm . #
IMPO kTANY: Indicate by # type of committee you are reporting for: Logged In
( 1 )Stewide/Legislative/Judge Standing for Retention Candidate ( 2 )Scat 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 Subdivision PAC Computer
11 ) Local Ballot Issue Audited
CANDIDATE COMMITTEES ONLY:
Political Party (if applicable)
~IMOU4_~_
District (if Senate or House)

/1~ ~1

!ports are subject to posRible civil aqd criminal penalties. / fl

11/
SIGN RE OF ERSON FILING R TELEPHONE DATE SIGIED /

REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.


(report date) Indicate by #

-' 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

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 .) .. ..`.4!ha.. . ... .. ..! ... .. ... ... .. ... ... .. $
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 applies to Candidates' Committees OnM
SUB-TOTAL ................ $
1 / l ol_ o?-
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 .
. - ., 04~
be zero) (Attach DR-3) . ... .. . .. . . .. .. ... . .. ... .. ... ... . ... .. ... ... ... ... ... .. . ... ... ... .. ... ... ... . ..~
... ... .. . .7. ... .. ... . . . ... ..... . .. . $ ~I 1 ~A `

**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

FORM DR-2 : Disclosure Summary Page Statutory Due Date 10/29/2004


Status : Amended Adjusted Due Date
ID #: 1572 Received Date 11/01/2004
Postmark Date 10/29/2004
Committee : Roger Grobstich for State
Representative Amended 11/30/2004
Comm Type : State House 'n b1`~ t
Date Due : 10/29/2004 R~SUi.nA
Report Year : 2004 4 -Lr ~Gti.s
ydQ'y"~~_
Treasurer: Pat Marshall F120f~^ fu .~~l
Primary Ph. (319)363-9769 Secondary Ph. ()- ~0 Lrr ;,
Chair: Robert Rush
Primary Ph . (319)362-4214 Secondary Ph . ()-
County : NA
Amended : 11/30/2004

Statement of Cash on Hand Cash on Hand at Start of Period $20,340 .25


Schedule A: Cash contributions Total $55,157.33
Schedule F : Loans Received Total $0.00
Schedule H : Campaign Property Sales $0.00
SUB-TOTAL $75,497.58
Schedule B: Expenditure Total $67,631 .50
Schedule F: Cash Loan Repayments
Cash on Hand At End of Period 7,866.081

Additional Assets and Liabilities

Loans in Place at Start of Period $0.00


Schedule D: UnPaid Bills $0.00
Schedule E : In-Kind Contributions $42,435.00
Schedule F: Forgiven Loans
Schedule F: Outstanding Loans $0.00
Schedule G: Consu ltant Breakdown? No
Schedule H : Campaign Property Value $0.001

FORM DR-2: Roger Grobstich for State Representa


Printed using the IECDB Web Reporting System on 12/14/2004 10 :13:17 Page 1 Of 1
IOWA ETHICS AND CAMPAIGN DISCLOSURE BOARD 1510 EAST 12th, SUITE 1A I DES MOINES, IA 50319 I (515) 281-4028
,FOR INSTRUCTIONS, SEE BACK OF "7RM FORM
DISCLOSURE Sr. .AMARY PAGE DR-2 DISCLOSURE
COMMITTEE NAME (Must be same _ . on Statement of Organization) (Rev. 07/2004) 1 REPORT

For Office Use Only ~


v
Comm . # - A 5 t
IM ORTA T: Indicate by # type of comfn ittee you are reporting f#r: Logged In
( 1 )Stalide/Legislative/Judge Standing for Retention Candidati ( 2 )Sttaate PA ( 3 )State Party Scanned
( 4 )County Central Committee ( 5 )County Capdidate (B )City Carididtit hool Board or Other
Political Subdivision Candidate ( 8 )County PAt;t(,Sl)City PAC ( 10 )SCtt d or Other Political Computer
Subdivision PAC ( 11) Local Ballot Issue t .,.
Audited
CANDIDATE COMMITTEES ONLY:
ndidate re ?GPdlitical
Late reports are subject to
possible civil and criminal
--B+sbid Senate or House) penalties .
e

ERSON P111I-G REPORT 'TELEPHONE DOE GN D

4M FILING A ti
REPORT FOR (1) ELECTION /(2)NON-ELECTION YEAR.
(report date) j'4" Indicate by #

Local Committees, enter Date of Election


MC11ECK IF AMENDMENT TO REPORT DATED

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 .)

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 t e e
of the last reporting period or must be zero if this is first report filed .) ~r.. .1 ; ... D: .. S'~.. . $ 3 _
,
ADD TOTAL MONEY TAKEN IN THIS PERIOD 6 5S, 157, 3 3
Schedule A: Cash Contributions total (Attach Schedule A) (*also see in-kind below) .. ....... . - t-
Schedule F: Loans Received total (Attach Schedule F) ... ...... .. .. .. .. ........... .. .. ... .. .. .. .. ... .. .. .....
Schedule H: Total Sales of Campaign Property (Attach Schedule H) ....... .. .. .. .. ..... .. .. ....... .. .
(Schedule H applies 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) .... lob- /0 3/ - 5-0
Schedule F: Loan Repayments total (Attach Schedule F) .. .. .... ..... .. .. .. .. .. ......... .. ..... .. .. .. . .. .... CD
CASH ON HAND at the end of this reporting period (if final report balance m
be zero) (Attach DR-3) . .. .. ..... .. .. .. .. ......... .. .. .. .. . . . .. .. .. .. .. .. .. .. .. ........... .. .. .. .. ....... .. .. .. ..... . . .. .. . . . .. . . $ -T 5

**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

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)
For Instructions, See Back of For, SCHEDULE

CONTRIBUTIONS -- MONEY TAKEN IN


A MONETARY
(Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
CHECK THIS BOX IF
COMMITTE NAME (Must be same as on Statement of Organization) AMENDING FORM
`
a
STATE'CANDIDATES NOTE : IF A CONTRIBUTION 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
ID# 4- ,
-50 e "'. v~
r
v7vZ J ~ 4il r, ,_
)6 lk. C3 Gr $
3Zyv 3
/Zteld CK#

ID# Cope p&~.


1 =0r? i _
1~ 3 CIM4

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

CONTRIBUTIONS -- MONEY TAKEN IN A


(Rev . 07/03)
MONETARY
RECEIPTS
(Including candidate's personal funds)
W/ CHECK THIS BOX IF
~~ITTEE NAME (Must be same on Statement of Or anization) 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 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

TOTAL (if lastpage of this schedule)

' 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

CONTRIBUTIONS - MONEY TAKEN IN


A MONETARY
(Rev . 07/03) RECEIPTS
(Including candidate's personal funds)
+"-CHECK THIS BOX IF
MMITTEA NAME (Must be measonS1atqMmfflgof organization) AMENDING FORM

k0j" _11~~ 3W 1_40601v~


STATE CANDIDATES NOTE : IF A CONTRIBUTION IS RECEIVEDFROM 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
ID# ~~~~- kJ'~55'e.Q

CK#

ID# /~- ,grler, ~ Cndhs v -r

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) $

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY:


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)
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

REPORT FOR (1) ELECT10N f(2)NON-ELECTION YEAR .

OCHECK IF AMENDMENT TO REPOR ~~al Committees, enterDate of Election

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.)

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.) .S.I .3q
. .. . . .o. . . . .. ... . $
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 applies to Candidates' Committees Only)
SUB-TOTAL .....$
SUBTRACT TOTAL MONEY SPENT THIS PERIOD SJA 65', 14$3 .5_d
6
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) .. ... ... .. ... ..... .. . ... .. . .. .. . .. . . . ... .. . .. ... .. .$
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

TOTAL {lf 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 41
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

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

/ CK# ~~ l~t'Ge~LJOo'oI pl~. T"


L
ID#
7--Al go ZX18?
~Qob~
w
Z5 6 CK# lCa3,3 ~ZIRS ' /4-vr, ,~--
l L,
ID#

O CK# 5_Z( s a
4:~Z l
SUB-TOTAL

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)
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)

MITTEE N"E (Must be same~as on Statement of Organization)


Q CHECK THIS BOX IF
AMENDING FORM

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

au / 9 ~Gss' ,B, Auk- /Vli-


~~ ~~ °~l t
CK#

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

EXPENDITURES - MONEY SPENT FROM COMMITTEE ACCOUNT B


(Rev . 07103)
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
PAC CHECK NUMBER FOR EACH EXPENDITURE . A LIST OF ID NUMBERS IS AVAILABLE FROM THE IOWA
D CHECK THIS BOX I F
AMENDING FORM
ETHICS 8 CAMPAIGN DISCLOSURE BOARD .

COMMITTEE AME (Must be same as on Statement of Organization)

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#

ID# AAA 4-JAO


~.~lT7 S1
11 CK# ~ ~
~ 1
1D#

CK#

ID#

CK#

SUB-TOTAL $
lp~~Sy .I
TOTAL (if last page of this schedule) $
5

THIS BOX APPLIES TO CANDIDATES' COMMITTEES ONLY :

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

C MITTEE NAME (Must be same as Statement of Org


E IN KIND
(Rev . 06/97 CONTRIBUTIONS

Q CHECK THIS BOX IF


AMENDING FORM

DATE RELATIONSHIP DESCRIPTION ESTIMATED d IF FOR


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

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 .

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